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Asked about some specific examples, like adding a B vitamin, a spokesperson for the Department of Health and Human Services, which includes the FDA, referred NPR back to the guidance document but didn't answer the question directly

It is contraindicated in individuals with glaucoma because it can increase intraocular pressure and may worsen glaucoma

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That means working with licensed compounding pharmacies that produce pharmaceutical-grade products, not sourcing from gray-market suppliers

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Protection by acyl-carnitines and phenylmethylsulfonyl fluoride of rat heart subjected to ischemia and reperfusion