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The use of multivials could be another possible infection mechanism, if the correct sterile manipulation practices had been broken, as was seen in another outbreak with non-tuberculous mycobacteria

Senescence associated secretory phenotype profile from primary lung mice fibroblasts depends on the senescence induction stimuli

However, there is considerable variability in doses and extract preparation, including oil-based formulations, methanol extracts and advanced nanoformulations, which might affect bioavailability and clinical efficacy
