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Xavier Pi-Sunyer, a professor of medicine at Columbia University College of Physicians and Surgeons, and lead author of the recent study, which was published in the New England Journal of Medicine

Re-test every 3-6 months assessing changes

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Third-party testing (USP, NSF, ConsumerLab) verifies that the product contains what the label claims and is free of contaminants like heavy metalssupplements without certification carry higher risk of mislabeling or impurity