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Start with clear facts, not assumptions: give the vial lot number, the beyond-use date on the label, when you first opened it, and the precise timing of any room-temperature exposures

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Effects of low power laser and low dose amitriptyline therapy on clinical symptoms and quality of life in fibromyalgia: A single-blind, placebo-controlled trial

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That left open the possibility that something else was at play, like how we are perceived by strangers