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The findings should be interpreted with caution as there were some methodological flaws, as a number of studies were judged to be either at high or unclear risk of bias for many domains, the review states

PMID: 12 KongCYangMYueNZhangYTianCWeiDet al

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And the immune system wouldnt work and the liver would fail from toxic overload

Obtain a Letter of Medical Necessity When traveling via public transportation, overseas, or abroad, some entities may require a letter of medical necessity