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Some states let non-physicians own the business as long as a licensed physician serves as medical director, while others, like California, require a physician to hold majority ownership

Instead, the signs might be more subtle: a persistent feeling of sluggishness, difficulty processing certain foods, or changes in skin clarity

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Diabetes 65(1):2533 Kayo T, Fujita H, Nozaki J, E X, Koizumi A (2000) Identification of two chromosomal loci determining glucose intolerance in a C57BL/6 mouse strain