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Despite these advances, ePA uptake is still evolving

The risks depend, among other factors, on which product was used, where it was injected, how deeply it was injected, whether sterile technique was used and whether there are underlying medical conditions or medications

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Prophylactic supplementation may be considered for select high-risk patients, particularly those with strict vegan diets, post-bariatric surgery, or on long-term metformin therapy

The interesting part over the next 1218 months will be watching who can scale repeatably without creating compliance drift, turnaround delays, or variability across sites