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A COA is a document issued by an independent testing laboratory that verifies a compound's identity, purity, concentration, and molecular weight

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Poor absorption can also contribute to deficiency and may occur with digestive conditions such as inflammatory bowel disease, irritable bowel syndrome or coeliac disease

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The mean (SD) length of health insurance enrollment was 5.5 (4.1) years pre-index and 2.8 (1.5) years post-index