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The version I prescribe comes from a US-manufactured, cGMP-certified pharmacy, with a certificate of analysis, on a dose I selected for the patient and the procedure

Injectable workflows draw from the vial directly

For serious symptoms (difficulty breathing, swelling, high fever, severe rash/blisters, jaundice, abdominal pain, dark urine, fainting): seek emergency medical care immediately

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If you have skipped a dosage, ignore the dose, and continue with your regular dose