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That is what supervised clinical care provides and what a direct-to-consumer research-powder model cannot

Adverse effects observed in clinical trials include: Gastrointestinal effects: nausea, vomiting, diarrhoea, and constipation particularly during dose escalation

Tendon and ligament healing Due to a limited blood supply, the spontaneous healing of both tendons and ligaments is inherently poor

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It may also be used to treat other conditions, such as pernicious anemia, vitamin B12 malabsorption, and certain types of nerve pain