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Kim D, Fiske BP, Birsoy K, Freinkman E, Kami K, Possemato RL, et al

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A stable, flat surface away from direct sunlight works best

Efficacy and safety of fermented garlic extract on hepatic function in adults with elevated serum gamma-glutamyl transpeptidase levels: A double-blind, randomized, placebo-controlled trial

As a result: Some pucks will move freely inside the vial Some will appear firmly attached to the bottom or sides Some may look slightly shrunken or lifted These physical differences do not automatically indicate degradation or quality issues