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The COA included endotoxin and sterility data which our lab requires

"The effects of acupuncture on cardiac arrhythmias: a literature review." Heart Lung 37 (2008): 425-431

Animal feeding with a high-fat diet increased metastasis rates and local invasion of prostate cancer in transgenic adenocarcinoma of mouse prostate mice, suggesting the circulating cytokine and adipokine alterations in response to excess adipose tissue deposition induced by a high-fat diet may enhance prostate cancer progression [42]