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VivioMD's own homepage FAQ separately states that "results vary and can't be guaranteed" and that results for compounded medications specifically "have not been established" - language that supports the no-guaranteed-outcome framing independent of the Refund Policy's specific terms

Methods Prim

[PMC free article: PMC2879499] [PubMed: 20228404] 669

Complications of Hashimotos Thyroiditis If left untreated, Hashimotos thyroiditis can cause complications, including: Heart Problems The disease can lead to high LDL cholesterol (a contributor to coronary artery disease), heart failure, and other forms of heart disease

There is currently one concentrated insulin available in a vial (HUMULIN R U-500 vial), and there is a corresponding U-500 syringe