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It should instead be read as suggestive but low-tier evidence: it used the crude extract rather than a defined synthetic peptide, the design was a small comparative study rather than a large blinded placebo-controlled trial (roughly 39 treated versus 40 control patients), sample sizes were modest, and the work again originates from the founding group
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rather the agency was using its discretion not to go after compounders who used ingredients it deemed safe those from the first category
Group A got L-Glutamine supplements with food and Group B got L-Glutamine supplements on an empty stomach
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