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Stewart L, Edgar JDM, Blakely G, Patrick S (2018) Antigenic mimicry of ubiquitin by the gut bacterium Bacteroides fragilis : a potential link with autoimmune disease

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Its like filling the cars fuel tank: whatever excess is poured in, simply runs over

Find out if it worked, and learn if it helps with other conditions, in our updated answer to the question: What is Pycnogenol and does it work

This is a deliberate feature of how each protocol page is built, not an inconsistency the 20 mg vials more concentrated fill is documented at a smaller per-dose so a single vial stretches across a longer research window