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If your shipment sits on a hot porch for hours, the medication could be compromised before you even open the box

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Study limitations include retrospective design, reliance on de-identified administrative data, inability to assess patient adherence, dosage, or causality, and residual confounding despite propensity score matching

Its a good idea to talk to your doctor about expectations for side effects and how to manage them

Still, there are a few biologically plausible explanations for why these patterns may show up