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According to Biohacking Bombshell if your water isnt pure enough it wont work

It's powered by an advanced lemon extract paired with Chromax chromi Ingredients Active Ingredients: Vitamin D (as Cholecalciferol): 20 mcg, Niacin (as Niacinamide): 10 mg, Vitamin B12 (as Methycobalamin): 25 mcg, Magnesium (as Magnesium Citrate): 50 mg, Zinc (as Zinc Citrate): 10

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Retrieved from National Library of Medicine: Niakan, K., & Schock, B

Supplement Facts: Serving size (4oz/120mL): 12Sprays

Tumour markers such as CA 19-9 are not recommended for diagnosing or excluding pancreatic cancer in primary care and are typically used in secondary care assessment