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In this study, Masuda et al

With a genetic disease like autism, theres the concept of a double hit. You might have a gene mutation that gets you close to the threshold for autism, and then you experience another insult (medical event or environmental exposure) that confounds it and pushes you over the line

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The 20 mins is 20mg, 40 mins is 40mg and 60 mins is 60mg. By disguising drug sales as coaching or training services, operators gain access to payment options intended for legitimate businesses

Studies have suggested that higher doses might become necessary for significant health advantages, but they should be taken under medical supervision