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Like many biologics, they require strict temperature control to remain effective

Clinic Standard and Expertise: It is obvious that clinics with sterile conditions, licensed professionals, and sophisticated procedures would be more expensive in terms of quality control

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This was a multi-modal study, meaning it wasnt just diet. From a scientific point of view, this is a limitation insofar as one cant claim from this study the keto diet was the magic bullet

Factor 75 is a keto based program while BistroMD offers nutritional and weight loss counseling to go alongside their meals

Gray area exists but clinics operating this way haven't faced legal action