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The placebo in vx trials is usually another vx. They never use saline because that would give real incontestable results.

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Turtles, All the Way Down.

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Great book!

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I watched a documentary about the HPV vaccine that explained the placebo in that trial was the adjuvant (in that case a new more toxic aluminum salt) without the viral component. So the placebo group had the same side effects in about the same numbers as the vaccine group. A clever manipulation.

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