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According to FDA labeling, medication should not be used if it appears cloudy, contains particles, or shows visible changes in color or consistency (except for Bydureon, which becomes a suspension after mixing)

doi: 10.1016/j.scitotenv.2020.144107 15

These small, inhaled particles emitted from vehicle exhaust, forest fires, coal-fired power plants and other industrial sources are thought to pass through the central airways and lodge in the more peripheral airways where LUADs typically form

The inclusion of these specific excipients distinguishes this formulation from standard CoQ-10 formulations and provides the rationale for its direct comparison in this trial