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The only way to ensure sterility is to adhere strictly to the 28-day rule and proper refrigeration

In addition, the gut microbiota is closely related to autoimmune diseases that arise as a result of the hosts immune system attacking host tissues

Life Extension's quality assurance and quality control procedures have earned NSF certification, verifying that the company meets high and exacting standards.8 Good Manufacturing Practices (GMP) registration GMP registration indicates that a company follows industry best practices to produce its products.9 Life Extension is a GMP-registered company and maintains its registration through "rigorous biannual audits of [its] distribution operations and quality systems." The company's fulfillment facility has also been GMP-certified based on factors such as cleanliness, recall handling, and product returns