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They work best as a treatment for deficiency, not as a stand-alone fat burner

Pulling is often used to soothe or regulate difficult feelings like anxiety, restlessness, stress, or sadness

That being said, an alternative measure was used by the research team that assessed motor function by grading the toe and heel foot print characteristic on a scale from 0-4, with 0 defined as no print, non functional, and 4 defined as complete print, near normal functioning [2]

For sublingual troches, this is particularly problematic because absorbed moisture can initiate the dissolution process prematurely, causing the troche to become sticky, soft, or crumbly before use