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Refrigeration is not optional
Furuse, M., Fujita, K., Hiiragi, T., Fujimoto, K
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For gut-targeted indications, it may be the superior route because high local concentrations in the GI tract are exactly what you want
However, if you believe you have another condition, like one thats thyroid- or anemia-related, bloodwork may at least help rule out complicating factors
Keep stress at bay, and most importantly, be patient
