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Each amino acid is added sequentially to the growing chain in a stepwise manner
Q: Is there any downtime
In some specific protocols, yes, but physiological saline (0.9% NaCl) contains no preservative, so it has shorter solution stability, similar to sterile water
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As our iCBT treatment took place over several weeks with drug on board for the duration, we still expected to see the therapeutic effects of enhanced extinction learning, as evidenced by greater efficacy of the iCBT intervention
This design choice introduces potential bias, particularly for subjective outcomes, but it reflects the practical reality that these treatments have different injection devices and titration schedules that would make blinding extremely difficult
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