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Description
The esca disease is a devastating, but still poorly understood fungal disease of grapevine trunks
Iran J Basic Med Sci 16(1):56 Mehrpour O, Jafarzadeh M, Abdollahi M (2012) A systematic review of aluminium phosphide poisoning

Because these products are unregulated, buyers often have no reliable way of knowing the actual strength of what is in the vial

This helps doctors see if the treatment is working and if any changes are needed
The cost is additive, not the risk
