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doi:10.1161/ATVBAHA.124.321850 OKonski MS, White FC, Longhurst J, Roth D, Bloor CM

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Refrigeration is mandatory for shelf life beyond a few days

Current recommendations include a low-protein diet with 0.8 to 1 gram of protein per kilogram of body weight daily, with an additional gram of protein for every gram lost in urine for patients with a large amount of protein in the urine

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This means the two repel each other and hyaluronic acid can be washed away easily