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And as soon as I leave the door open, the dust, the wind blows the leaves inside

This is the manufacturer telling you that beyond 21 days outside refrigeration, they cannot guarantee what you are injecting will work as intended

Avoid injecting within 2 inches of previous injection sites for at least 7 days

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Oral supplements may cause digestive discomfort, such as bloating and gas, in some individuals

This is when the provider assesses protocol response and makes any dose or frequency adjustments based on observed outcomes and patient feedback