impact advanced recovery drink side effectsimpact advanced recovery drink side effects

impact advanced recovery drink side effects impact advanced recovery drink side effects

Please remove one or more studies before adding more. Void where prohibited. 0000001037 00000 n MYN41050: This medicine is a peach, oblong, scored, film-coated, tablet imprinted with "M 120". IMPACT Advanced Recovery Drink is different from a typical protein drink or an energy shake. The unique blend of nutrients in IMPACT formulas has been studied in dozens of clinical trials and thousands of patients, and has been proven to reduce infection in patients undergoing major surgery. PKD02200: This medicine is a pink, triangular, scored, film-coated, tablet imprinted with "PD 220". Nestl Health Science 2023 - All rights reserved, https://www.nestle-family.com/en/contact-us, Contains a unique immunonutrient blend (arginine, omega-3 fatty acids from fish oil, nucleotides) clinically provento reduce risk of infection and length of stay after major elective surgery, Contains immune-modulatingnutrients supported by the 2016 Critical Care Nutrition Guidelines, Recommended intake of 3 cartons per dayfor 5 days pre-, peri- or post-operatively. AUR00730: This medicine is a yellow, oblong, scored, coated, tablet imprinted with "D 88". A flat rate of $7.95 will apply for shipping & handling on orders under $49.95. NOT FOR PARENTERAL USE TEV53520: This medicine is a white, round, enteric-coated, tablet imprinted with "77" and "1140". 1-3. *From RNA salt containing purines and pyrimidines, **This statement does not constitute an endorsement of IMPACT Advanced Recovery Drink or any other Nestl HealthCare Nutrition product by SCCM or ASPEN. Nutritional supplement for patients pre- and post major-elective surgery, after severe trauma/injury, or with pressure ulcers and other chronic wounds. to 8:00p.m. The product is not recommended when immune suppression is desired, so it is important to ask your doctor if IMPACT Advanced Recovery Drink would be right for your type of major surgery. Accredited on-demand Continuing Education (CE) modules, Request product samples for your patients or practice, Impact Advanced Recovery Vanilla 10 x 250 mL, Only IMPACT formulas contain a unique studied blend of L-arginine, omega-3 fatty acids and nucleotides*. impact-advanced-recovery-oral home drugs a-z list The display and use of drug information on this site is subject to express terms of use. Close more info about IMPACT ADVANCED RECOVERY. It is very important to let your healthcare team know how . P_D05320: This medicine is a brown, round, film-coated, tablet imprinted with "PD 532" and "20". OTA00060: This medicine is a green, rectangular, tablet imprinted with "A-006 2". Get recipe ideas and inspiration that make it easy to fit IMPACT Advanced Recovery Drink into your surgery preparation. After viewing product detail pages, look here to find an easy way to navigate back to pages you are interested in. HWQ6~_Gh\(Zz-->(QYlH\8E>~dXWQmq$Vi_EVFi=x>|n7poyEq-6xoW>*E:*h{~J4_,'{H>chz' C5EOl6nDFn SB9ZHlwvl/$Qyn`^iQ rG{ GRN00200: This medicine is a white, oblong, film-coated, tablet imprinted with "G650". 3McClave SA et al. Products are not intended for resale. and Your doctor may advise you to finish drinking your servings of IMPACT Advanced Recovery Drink the day before surgery. Reduce your risk of infections following surgery, Decrease the number of recovery days in the hospital after surger. 64 . Just fill in your email below and well help you reset your password. Itching over entire body. The linked page claims Emily Haesler (Ed.). JACS 2011:212(3):385-399. ? This product is intended for use under medical supervision. Along with possible liver toxicity problems, you may also experience side effects from combining Accutane with alcohol like redness or tenderness of the . Enter the password that accompanies your email address. The effects of alcohol on the body from an addiction can affect your immune system and vital internal organs, such as the brain, heart, liver and more. CIP05140: This medicine is a yellow, oblong, scored, film-coated, tablet imprinted with "5 14". GNP09900: This medicine is a white, oblong, tablet. INGREDIENTS: WATER, SUGAR, CALCIUM CASEINATE (MILK), SODIUM CASEINATE, L-ARGININE, REFINED FISH OIL (ANCHOVY, SARDINE). Sorry, you need to enable JavaScript to visit this website. First two ingredients: water, sugar. AMN11650: This medicine is a white, oval, tablet imprinted with "AN65". Glycine does not add to the beneficial effects of perioperative oral immune-enhancing nutrition supplements in high-risk cardiac surgery patients. Hub. Patients that die prior to. 0000003902 00000 n VTS01220: This medicine is a white, round, tablet imprinted with "320" and "cor". Ensure Surgery Immunonutrition Shake, Vanilla,8 Fl Oz (Pack of 15), Ensure Surgery Perioperative 5-Day Bundle with 3 Ensure Pre-Surgery Clear Carbohydrate Drinks & 20 Ensure Surgery Immunonutrition Shakes, Grass Fed Bone Marrow Supplement & Bovine Tracheal Cartilage, Bone Restore & Joint Health Supplement, Joint Support Supplement, Bone Strength and Bone Fracture Supplement, Ensure Pre-Surgery, Clear Carbohydrate Drink, Strawberry, 10 Fl Oz (Pack of 4), Supplement (Post-Op) - Wound Care & Post Partum, Evolve Plant Based Protein Shake, Double Chocolate, 20g Vegan Protein, Dairy Free, No Artificial Sweeteners, Non-GMO, 10g Fiber, 11 Fl Oz (Pack of 12) - (Formula May Vary), Juven Therapeutic Nutrition Drink Mix Powder for Wound Healing Support, Includes Collagen Protein, Fruit Punch, 1.01 Ounce (Pack of 30). IN supplements, such as Impact Advanced Recovery and Nutren Optimum, vary in ingredients and concentrations, and the ideal dosages for the best surgical outcome haven't been defined. 3. We forge new partnerships, invest in companies with similar goals to us, and acquire companies that complement our global portfoliore a passion for empowering healthier lives through nutrition. Terms & Conditions, Assess whether Nestle IMPACT AR decreases the rate of other post-operative complications such as pneumonia, urinary tract infection, deep vein thrombosis, and clostridium difficile colitis within 30 days of surgery, as well as length of hospital stay. An analysis of 28 studies in major elective surgery showed only IMPACT formula reduced the risk of infectious complications by 51% vs. standard nutrition or no intervention. CVS04640: This medicine is a gel MJR66980: This medicine is a white, suspension HUM19310: This medicine is a yellow, oil WATER, SUGAR, CALCIUM CASEINATE (MILK), SODIUM CASEINATE, L-ARGININE, REFINED FISH OIL (ANCHOVY, SARDINE), AND LESS THAN 2% OF CORN OIL, CITRIC ACID, MEDIUM CHAIN TRIGLYCERIDES, RNA SODIUM SALT, POTASSIUM CITRATE, POTASSIUM CHLORIDE, CALCIUM PHOSPHATE, CELLULOSE GEL AND GUM, MAGNESIUM PHOSPHATE, SALT, MAGNESIUM CHLORIDE, SODIUM ASCORBATE, CHOLINE CHLORIDE, NATURAL AND ARTIFICIAL FLAVOR, SUCRALOSE, CARRAGEENAN, ZINC SULFATE, FERROUS SULFATE, D-ALPHA TOCOPHEROL, DL-ALPHA TOCOPHERYL ACETATE, NIACINAMIDE, CALCIUM PANTOTHENATE, COPPER GLUCONATE, MANGANESE SULFATE, PYRIDOXINE HYDROCHLORIDE, BETA-CAROTENE, RIBOFLAVIN, VITAMIN A PALMITATE, THIAMINE HYDROCHLORIDE, FOLIC ACID, POTASSIUM IODIDE, CHROMIUM CHLORIDE, SODIUM MOLYBDATE, SODIUM SELENITE, VITAMIN K1, BIOTIN, VITAMIN D3, VITAMIN B12, Unparalleled passion for nourishing and enhancing lives, Nestle HealthCare Nutrition, Inc. pectoralis major flap), and large skull base procedures requiring extensive skull base reconstruction, Patients must have cross-sectional body imaging (positron emission tomography [PET]-computed tomography [CT] or equivalent) performed within 4 weeks of study enrollment and available for review, Patient must be willing to receive Nestle IMPACT Advance Recovery for five days prior to planned surgery as well as for 5 days after surgery, Ability to understand and the willingness to sign a written informed consent document, Patients with known distant metastases or other malignancies, Patients unable to tolerate oral intake by mouth or per enteral feeding tube, Patients who have received any investigational medication within 6 weeks of enrollment, or who are scheduled to receive an investigational drug during the course of the study, Patients currently taking IMPACT or other immunonutrition products (arginine-containing supplements) will be excluded; other forms of nutritional supplementation, such as caloric supplementation, tube feeding, or other dietary supplements are allowed on study, Patients currently taking anabolic steroids will be excluded; patients taking corticosteroids are allowed on study, Psychiatric illness/social situations that would limit compliance with study requirements, Excluded patients will be allowed to participate in the trial on an observational basis only. The adoption of enhanced recovery after surgery (ERAS) pathways stands as a paradigm shift in the approach to perioperative care, resulting in both substantial improvements in clinical outcomes and cost savings in colorectal surgery patients and beyond. JPEN 2007;31 . Unless otherwise indicated, all trademarks are owned by Socit des Produits Nestl S.A., Vevey, Switzerland or used with permission. Whey Protein Powder, Chocolate, Immune Support (1), Vitamins C & D Plus Zinc, 1.78 lbs, Healthycell Telomere Length | Supplement for Lengthening Telomeres and DNA Repair, Anti Aging, Cell Health, Stem Cell Support | Clincially Proven Ingredient AC11 | 578 mg Capsules, Nuun Sport: Electrolyte Drink Tablets, Variety Pack, (60 Servings), 10 Count (Pack of 6), NEURIVA Original Brain Supplement for Memory, Focus & Concentration + Learning & Accuracy with Clinically Tested Nootropics Phosphatidylserine and Neurofactor, Caffeine Free, 50ct Grape Gummies, Natrol Melatonin Fast Dissolve Tablets, Helps You Fall Asleep Faster, Stay Asleep Longer, Easy to Take, Dissolve in Mouth, Strengthen Immune System, Maximum Strength, Strawberry Flavor, 10mg, 100Count, Tart Cherry Extract Capsules - Extra Strength Tart Cherry Capsules Uric Acid Cleanse and Joint Support Supplement - Muscle, Supplement with Uric Acid Support Polyphenols - 2 Pack, Protein Smoothie, 6 Pouches 15g Collagen + Whey Post Workout, Drink Ready-to-Drink Protein Shake with Real Fruit, Electrolytes, Healthy Fats, Snap Supplements Postnatal Vitamins, Postpartum, , Lactation Support Supplement, Postpartum Essentials for Breastfeeding Moms, Post Partum, , Strengthen Hair, Skin and Nails, 60 Count, Scar Roller, Scar Tissue Massager for Reduced Post-Surgery Incision Swelling, Handheld Massage Roller for Soreness and Tightness, Joint Roller for Improved Range of Motion and Flexibility. Braga M et al. BMS00070: This medicine is a blue, rectangular, tablet imprinted with "A-007 5". IMPACT ADVANCED RECOVERY Drink is a unique beverage specially formulated to support the body's immune system after major surgery. Surgical Evidence of IMPACT Advanced Recovery Drink, IMPACT Advanced Recovery Drink Fact Sheet, Reduce your risk of infections following surgery, Decrease the number of recovery days in the hospital after surgery, Arginine, an amino acid, supports the immune system and helps increase blood flow to your surgical wound, supporting the healing process, Omega-3 Fatty Acids from fish oil help to lessen the stress on your body from surgery by managing inflammation, Dietary nucleotides are molecules that play an important role in rebuilding immune cells that help fight off infection. Ask your doctor if IMPACT Advanced Recovery Surgical Nutrition Drink is right for you. Share with your doctor the IMPACT Advanced Recovery Drink fact sheet. References: 1. Consult your pharmacist.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. This item: Impact Advanced Recovery, Vanilla, 8.45 Fl Oz, pack of 10 $70.56 ($8.40/Fl Oz) Ensure Pre-Surgery, Clear Carbohydrate Drink, Strawberry, 10 Fl Oz (Pack of 4) $14.22 ($0.36/Fl Oz) Ensure Surgery Immunonutrition Shake, Vanilla,8 Fl Oz (Pack of 15) $59.99 ($0.50/Fl Oz) Ensure Surgery Immunonutrition Shake, Vanilla,8 Fl Oz (Pack of 15) 1,012 In order to pre-register for events, you need to be registered or logged in on the Nestl Medical Hub. Immunonutrition contains specialized ingredients, such as arginine, omega 3 fatty acids and nucleotides, thats support the Immune system and healing process after surgery. Hydration Multiplier - Lemon Lime - Powder Packets | Electrolyte Drink Mix | Easy Open Single-Serving | Non-GMO | 16 Stick, BOOST Breeze Nutritional Drink, Wild Berry, 8fl oz (Pack of 24), Vital Proteins Collagen Peptides Powder, Promotes Hair, Nail, Skin, Bone and Joint Health, Unflavored 19.3 OZ, Marcy Magnetic Recumbent Exercise Bike with 8 Resistance Levels, Resource 2.0 Very Vanilla, 8 fl oz, Pack of 24, Ripple Vegan Protein Shake | Vanilla | 20g Nutritious Plant Based Pea Protein | Shelf Stable | No GMOs, Soy, Nut, Gluten, Lactose | 12 Oz, 12 Pack, 1200mg Liposomal NAD+ Supplement, Ultra Purity Actual NAD Supplement, Enhanced Absorption, Boosting NAD+, Age Defense, Energy, Metabolic Repair, Optimal NAD Supplement, 60 Softgels, Garden of Life Organic Vegan Sport Protein Powder, Vanilla - Probiotics, BCAAs, 30g Plant Protein for Premium Post Workout, - NSF Certified, Keto, Gluten & Dairy Free, Non GMO 19 Servings. 0000016259 00000 n anastomotic leak, urinary tract infection, nosocomial pneumonia and surgical site infection Ask your health care provider if IMPACT Advanced Recovery Drink is right for you. I certify that I have read and agree with the MJR66980: This medicine is a white, suspension, HUM20631: This medicine is a green-yellow, oil, HUM20630: This medicine is a green-yellow, oil, HUM20150: This medicine is a colorless, oil. PUR01330: This medicine is a green, oblong, capsule imprinted with "G 342" and "25". Our expertise areas are rooted in science and cover every facet of health: prevention, maintenance, and treatment. *Not for individuals with galactosemia. Pressure injuries (Stages 2, 3, 4, unstageable). 2. Shop products from small business brands sold in Amazons store. Provide a password for the new account in both fields. Hot flashes (yes!) Nestl. I was right, and would rather use my own protein supplements. OTS0009Z: This medicine is a yellow, round, tablet imprinted with "A-009 15". I certify that I have read and agree with the Terms & Conditions,Privacy Policy and About our Ads. A specialized immunonutrition drink can help all types of patients prepare for major surgery, whether they are malnourished or not. Will be analyzed using chi square testing. We are a global group of people who share a passion for empowering healthier lives through nutrition. Impact Advanced Recovery Immunonutrition drink helps support the immune system: reduces risk of prolonged hospital stay and complications after surgery, e.g. IMPACT Advanced Recovery Drink has been studied in multiple types of major surgery including: Gastrointestinal Cancer, Head and Neck Cancer, Cardiac, Bladder Cancer, Gynecological Cancer, Major Hernia Repair, Hip Replacement and Non-Small Cell Lung Cancer. What is Arginaid: Uses, Warnings & Interactions. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. Accutane can also increase the levels of lipids in your blood called triglycerides. Learn How Genetics Make Some Fans of Fear, Dr. Whyte's Book: Take Control of Your Cancer Risk, How Breast Cancer Changed My Life and Me, Health News and Information, Delivered to Your Inbox. Another study suggests that a cream containing creatine and folic acid improves sun damage and reduces wrinkles. ^gv'Y2"=J" I` Bh)8zgzsoH=| We'll help them live their lives at their bestthat's a promise. DRR01130: This medicine is a red-brown, elliptical, capsule imprinted with "RI". LUP02860: This medicine is a blue-green, oval, film-coated, tablet imprinted with "LU" and "N51". This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Talk with your doctor to understand the appropriate regimen for you. HER01470: This medicine is a white, round, tablet imprinted with "HP" and "147". By clicking SIGN UP, I agree to receive information from Nestl Health Science including special offers, promotions, and more. (adverse effects): number of patients with adverse effects and total number of adverse effects as assessed by CTCAE v4.0 (which includes number of patients with serious adverse effects: Grade 3 or higher, CTCAE v4.0 and . Great pre or Post-Workout Snack. Impact Advanced Recovery is the only beverage patented for pre-surgical application of an immunonutrient blend (arginine, omega-3 fatty acids, nucleotides) to reduce the . Made me nauseous. It has high amounts of arginine, an amino acid necessary for wound . 2016;40(2):159-211. Impact Advanced Recovery Oral Reviews and User Ratings: Effectiveness, Ease of Use, and Satisfaction MENU Drugs & Medications Impact Advanced Recovery oral Reviews User Reviews for. Arginaid is a non-prescription nutritional drink that supplies the amino acid L-arginine along with vitamin C and E. Arginaid is intended to provide arginine to people with wounds that are healing. PAR05540: This medicine is a white, round, film-coated, tablet imprinted with "P" and "20". Ask your surgeon or other health care provider if Impact Advanced Recovery Drink is right for you. CUI05660: This medicine is a white, oval, tablet imprinted with "121". I decided to try it as part of my [surgery] recovery. MyCE eLearning Platform (Continuing Education), NNI Clinical Nutrition Fellowship for Physicians, In order to access our Sampling section, you need to be registered and logged in, into the Nestl Medical Hub. C1 ;jHxO%'!zBWiS)H& IMPACT ADVANCED RECOVERY Drink is a unique beverage specially formulated to support the bodys immune system after major surgery. Surgical Evidence of IMPACT Advanced Recovery Drink, IMPACT Advanced Recovery Drink Fact Sheet. LIP02100: This medicine is a white, round, tablet imprinted with "P210" and "25". GSK07420: This medicine is a orange, oblong, film-coated, tablet imprinted with "GS FC2". Appropriate for these diets: lactose intolerance*, gluten-free, kosher, halal. 0000007622 00000 n 0000002951 00000 n I was surprised that this "nutrition" drink I was prescribed contains so much SUGAR. Itching, very bad sweating spells. The content on this website is for educational purposes only and should not be considered to be medical advice. Copyright 2023 Haymarket Media, Inc. All Rights Reserved. Detailed product information and resources, when and where you need it, Find all the information and resources to support reimbursement. IMPACT Advanced Recovery is an immunonutrition drink that supports recovery from major surgery. Glycine does not add to the beneficial effects ofperioperative oral immune-enhancingnutrition supplements in high-risk cardiac surgery patients. loading is designed to help manage blood sugar after surgery. Consult your pharmacist.Keep a list of all your medications with you, and share the list with your doctor and pharmacist. It is not intended to replace the advice of your healthcare team. Listing a study does not mean it has been evaluated by the U.S. Federal Government. 1041 US Highway 202 Share with your doctor the IMPACT Advanced Recovery Drink fact sheet. A flat rate of $7.95 will apply for shipping & handling on orders under $49.95. Tepaske R et al. By clicking SIGN UP, I agree to receive emails and other marketing communications from IMPACT Advanced Recovery Drink including special offers, promotions, and more. Your diet is even more important before and after surgery to optimize recovery and support the healing process. II. Arginine: Helps increase blood flow to the surgical wound and helps support the immune system2 Omega-3 Fatty Acids (from fish oils): Helps manage inflammation Nucleotides: Helps rebuild immune cells4 2011; 212:385-399. Not indicated when immune suppression is desired. loc_en_US, sid_BV-044, prod, sort_[SortEntry(order=RELEVANCE, direction=DESCENDING)]. Why is this drink important? Notes & Disclaimers for Key Benefits (Healthcare Professionals). No. McClave S, et al. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Premier Protein Shake, Caf Latte, 30g Protein, 1g Sugar, 24 Vitamins & Minerals, to Support Immune Health 11.5 fl oz, 12 Pack, Ensure COMPLETE Nutrition Shake, 30g of Protein, Meal Replacement Shake, with, for Immune Health, Chocolate, 10 fl oz, 24 Count, Optimum Nutrition Gold Standard 100% Whey Protein Powder, Double Rich Chocolate, 5 Pound (Packaging May Vary), Ensure Max Protein Nutrition Shake, with 30g of Protein, 1g of Sugar, High Protein Shake, Cherry Cheesecake, 11 fl oz, 12 Count, Boost Very High Calorie Nutritional Drink, Chocolate, 8 Fl Oz (Pack of 24), Juven Therapeutic Nutrition Drink Mix Powder for Wound Healing Support, Includes Collagen Protein, Orange and Fruit Punch, 30 Count, Protein Shake Sampler Variety | 10 Pack of Different Assorted Flavors | Ready to Drink High Protein Shakes | 10 of 17 Pictured Shakes | Niro Assortment, Ensure Plus Nutrition Shake with Fiber, 16 Grams of Protein, , Vanilla, 8 Fl Oz (Pack of 24), Designer Wellness Protein Smoothie, Real Fruit, 12g Protein, Low Carb, Zero Added Sugar, Gluten-Free, Non-GMO, No Artificial Colors or Flavors, Variety Pack, 12 Count, , Pre & Post Surgery Support, Wound Care, BBL, Tummy Tuck, C Section & Postpartum Vitamin Essentials Healing Support, Scar, Shoulder, Hysterectomy, Breast & Lipo, Vegan, 60 Caps, Wrench 1/2 Inch with Sockets Set of 2 Sizes Portable, Driver Drill Bit Set 12 V First Aid Kit for Car Emergency Kit (Red), Muscle Milk Pro Series Protein Powder Supplement, Knockout Chocolate, 5 Pound, 28 Servings, 50g Protein, 3g Sugar, 20 Vitamins & Minerals, NSF Certified for Sport, Workout, Premier Protein Clear Drink, Tropical Punch, 20g Protein, 0g Sugar, 1g Carb, 90 calories, Keto Friendly, Gluten Free, No Soy Ingredients 16.9 fl oz, 12 Pack. Otherwise, call a poison control center right away. Reduces the chances of infection after surgery. Yes. All emails from the system will be sent to this address. 0000017613 00000 n AMN17540: This medicine is a purple, oval, film-coated, tablet imprinted with "1754". H\@>E-Qo 4d1?Lfh%-tTY'h8En}N.9!Lvm;s%Ywo}$.'e_ui?&mwvO6gn.V Wy{}.3}CU! This information does not assure that this product is safe, effective, or appropriate for you. Short-Term Side Effects of Drinking Alcohol. TEV53820: This medicine is a yellow, oblong, film-coated, tablet imprinted with "5382" and "TV". ZYD05690: This medicine is a white, round, enteric-coated, tablet imprinted with "569". HER01480: This medicine is a white, round, tablet imprinted with "HP 148". Much more frequent urination. Properly discard this product when it is expired or no longer needed. below to login. Pre-operative preparation and post-operative recovery from major elective surgery: Gastrointestinal cancer (esophageal, gastric, pancreatic, colonic), Bladder cancer, Gynecological cancer, Head and neck cancer, Non-small cell lung cancer, Cardiac, Hernia and Orthopedic. Early research suggests that a cream containing creatine and other ingredients applied to the face every day for six weeks might reduce skin sag and wrinkles in men. Sugar Free. 2023 Get home sooner. 2023 Always ask your health care professional for complete information about this product and your specific health needs. It takes the brakes off immune cells, unlocking their ability to detect altered proteins on cancer cells in order to attack and kill these cells. WMP01840: This medicine is a pink, clear, raspberry, liquid, TAR20620: This medicine is a white, cream, 00206723: This medicine is a colorless, clear, liquid, BAS06050: This medicine is a clear, oblong, capsule, 00206803: This medicine is a tan, round, tablet. Br J Surg. 00207755: This medicine is a dark blue, oblong, capsule imprinted with "G 343" and "35". The unique blend of nutrients found in IMPACT Advanced Recovery Drink work together to help prepare the body for a variety of major surgeries. Dietary Supplement: Nestle IMPACT Advanced Recovery Dietary Supplement: Nestle Boost High Protein Drink: Not Applicable: . ALK10010: This medicine is a brown, clear, vial. Purple, Insane Labz Psychotic Gold, High Stimulant Pre Workout Powder, Extreme Lasting Energy, Focus, Pumps and Endurance with Beta Alanine, DMAE Bitartrate, Citrulline, NO Booster, 35 Srvgs. 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