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Appl Physiol Nutr Metab

Management: Take all doses before 2 PM

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Those who accept that this is a supportive tool not a magic bullet and are willing to pay for clinician supervision, quality sourcing, lab monitoring

Patients should be counseled about moderate alcohol consumption and the importance of monitoring blood glucose levels more carefully when drinking alcohol

According to various sources: Some vendor specifications list a shelf life of 24 months (2 years) when properly stored