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That reduces how often the primary vial is pierced and helps limit the warm-cold cycling that can contribute to instability

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Gheshlaghi F, Lavasanijou MR, Moghaddam NA, Khazaei M, Behjati M, Farajzadegan Z, Sabzghabaee AM (2015) N-acetylcysteine, ascorbic acid, and methylene blue for the treatment of aluminium phosphide poisoning: still beneficial

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Baseline IGF-1 testing and periodic monitoring (every 36 months) are standard protocol

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