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They are not intended to diagnose, treat, cure, or prevent any disease, and are not approved for human or animal administration

Any visible bits, flecks, or debris mean it is time to discard the vial

[PubMed] [Google Scholar] 74.Atkinson J.P., Weiss A., Ito M., Kelly J., Parker C.W

Akdogan M, Tamer MN, Cure E, et al