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If there is any uncertainty about whether the medication was frozen, exposed to excessive heat (above 86F), or stored beyond the recommended timeframe, the safest approach is disposal and replacement

sdLDL is considerably more atherogenic than standard fluffy LDL and a potent risk factor for coronary atherosclerosis

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However, the use of modern medications targeted at weight loss is relatively new (because the problem is new)

This is exactly the kind of honesty that should be standard

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