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doi: 10.1056/NEJMoa1607141 14 WangFChenSRenLWangYLiZSongTet al

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Others have flagged concerns about: Product potency inconsistency: Multiple reports of products seeming less effective than expected, suggesting potential purity or concentration issues Payment method limitations: Bitcoin-only payment at certain periods, which removes consumer protections available with credit card transactions Communication gaps: Difficulty reaching customer service when issues arise Shipping delays: Some orders taking longer than promised to arrive, which matters for temperature-sensitive compounds like semaglutide that require proper temperature management during shipping One particularly telling observation from multiple reviewers is the phrase "hit or miss." When experienced researchers use that language about a vendor, it signals a level of uncertainty that makes long-term research planning difficult

We extracted baseline demographic and clinical characteristics

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