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This also means they cant participate in clinical trials that take place at hospitals or research institutions, and even people who can get to those places will likely end up with PEM as an inevitable by-product, Copeland said

For longer excursions in hot climates, a portable cooler or pharmaceutical-grade cooling pouch prevents exposure to heat that can break down the peptide

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10.1016/j.ejphar.2018.06.019 79 KimD