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It wasn't keto, nor intermittent fasting, nor the sirtfood diet

Excluded obesity medications for both groups encompassed orlistat, phentermine/topiramate, naltrexone/bupropion, and surgical interventions such as endoscopic sleeve gastroplasty, intragastric balloon placement, adjustable gastric banding, gastric sleeve, and gastric bypass

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It should be kept at room temperature Store at 20 to 25C (68 to 77F), according to Pfizer Medical Information , away from direct sunlight or any other source of heat and moisture