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The notation (Plus vs +) is irrelevant to bioavailabilitythe precursor compound determines absorption efficiency

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In the context of endometriosis, an experimental study demonstrated that adherence to the MD over 5 months resulted in a significant reduction in general pain and improvement in overall condition among women with laparoscopically confirmed endometriosis-associated pain, although this study was limited by the absence of a control group and reliance on self-reported adherence

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