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Is the person's body destroying too many red blood cells

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None of this is exposed in the package insert because there is no package insert

doi:10.1159/000059404 Kristensen T, Vestergaard H, Mller MB

Cycle length for women is typically 8-12 weeks on, followed by 4-6 weeks off

Others prefer to mix it in a liquid, with orange juice being the most popular choice
