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Yes, the effectiveness of a pharmaceutical can decrease over time, but much of the original potency remains after ten years past the expiration

doi: 10.1002/mpo.10135

If you want learn more about the potential risks and side effects, read more HERE

10.1016/j.neuron.2010.11.030 Neuron 48 HymanB

It has been found to improve heart function and exercise capacity, as well as decrease symptoms of angina (chest pain) in individuals with coronary artery disease (CAD) (1)