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The distinction matters because a real OTC drug has been through clinical trials for safety and efficacy

Barn-Mendoza I, Gonzlez-Arenas A (2022) Relationship between the Effect of Polyunsaturated Fatty Acids (PUFAs) on Brain Plasticity and the Improvement on Cognition and Behavior in Individuals with Autism Spectrum Disorder

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To understand the risk, we have to look at how Tirzepatide is built