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TCM uses some minerals and also mussel shells. These are available in ground form. It can therefore crunch between the teeth when ingested.
These can be ground minerals or mussel shells. However, there are also granulate manufacturers whose granulates have a coarser grain size. The effect is not impaired by this inhomogeneity. Just make sure that you mix the granules thoroughly before use.
Granulate formulations should be kept dry, cool and protected from light. In damp weather and once opened, the granules have a hygroscopic effect, i.e. they absorb the moisture in the air and can then clump together. The effect does not necessarily have to be impaired, but it can be. As with all foodstuffs, mould or bacterial colonisation could occur in unfavourable cases, i.e. if stored improperly.
As a rule, a granular mixture is prescribed for immediate use, i.e. you start taking it as soon as you receive it. There may be exceptions, for example if you are travelling and take an emergency medicine with you or if you have an emergency medicine with you that is used for an acute event (allergy, frequent infections, asthma attack, cystitis...). Complemedis must define an expiry date due to regulatory requirements. We have tested retained samples, some of which were several years old and could not prove any loss of active ingredient in the laboratory. Granules are granulated with starch by our main supplier for the very reason that the active ingredients remain stable for a long time if stored properly. It is not the case that granules become toxic once they have passed their expiry date. As with all foods, mould or bacterial colonisation could occur in unfavourable cases, i.e. if they are not stored properly. See also the previous question.
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