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You or your provider might increase the dose to compensate, which means you use the vial faster and spend more money

J Am Coll Cardiol 34(1):181190 Sweet M, Taylor MR, Mestroni L (2015) Diagnosis, prevalence, and screening of familial dilated cardiomyopathy

Recommended Use: Take 1 ml (approximately 2 pumps) and hold in the mouth for 30 seconds before swallowing, or as directed by your healthcare practitioner