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The clearest way to interpret it is as a multi pathway study tool rather than a single mechanism product

Myers R, Brauer M, Dummer T, Atkar-Khattra S, Yee J, Melosky B, et al

doi: 10.1016/j.theriogenology.2018.03.035, 176

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These losses occurred irrespective of dose, duration, or particle size

Again, it's not up to me