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Sub-clinical dosing of 0.5 to 2 mg per week can keep costs under $100 a month, as low as $50 if your single 5 mg vial is well preserved and lasts a few weeks or more

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So the pathways are just different in how it utilizes it, and they haven't fully extrapolated like what's causing that exactly

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Diabetes 52:24612474 Storgaard H, Jensen CB, Vaag AA et al (2003) Insulin secretion after short- and long-term low-grade free fatty acid infusion in men with increased risk of developing type 2 diabetes

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