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NOW Cetyl Myristoleate (CM) is a modified medium chain fatty acid ester that is vegetable derived. Clinical experience shows that CM has a long life in the body because it is an ester form that is naturally resistant to oxidation. CM continues to work in the body for relatively lengthy periods after supplementation ends. We recommend using NOW Cetyl Myristoleate (CM) in conjunction with Glucosamine and MSM for superior, synergistic activity.