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refrigeration or freezing is the minimum standard for meaningful shelf life

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Another major limitation is the age of the evidence base itself

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The enzyme aldose reductase which produces intermediate sorbitol is a NADPH requiring enzyme with a high Km for glucose [7], thus elevated intracellular glucose concentrations and an adequate supply of NADPH leads to a significant increase in the amount of sorbitol

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Supports tissue repair, muscle recovery after exercise, and overall healing through optimized growth hormone levels and increased IGF-1

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