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however, robust clinical evidence remains limited, and definitive conclusions regarding efficacy require further well-designed randomized trials Indeed, the lack of bioavailability, standardization, and the risk of herbdrug interaction prevent these agents from becoming the prevailing therapy option

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TABLE 5 Newcastle - Ottawa quality assessment scale cohort studies

Purchasing from unverified vendors carries documented risk: no guarantee of purity, composition consistency, or absence of contaminants far from the standards expected of regulated products

He graduated from Zaporizhzhia State Medical University in Ukraine and completed a family medicine residency program with Columbia University and Cornell at New York-Presbyterian Hospital in Manhattan