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However, because many people live undiagnosed for years with autoimmune conditions like celiac disease or Hashimoto's (and often both), it can often show up around the same time

We apologize to those colleagues whose work was not cited because of the large scope of this review and severe space limitations

10.1016/0006-2952(94)00258-N 238

Researchers intending to work with the lyophilised version should ensure access to DMSO or a similar solvent for proper handling

Third-party HPLC (high-performance liquid chromatography) testing and mass spectrometry verification confirm that what is in the vial matches what the label says