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If side effects spike, your provider may keep you at the current dose longer

PMID: 17955303, PMCID: PMC2173926, DOI: 10.1007/s11606-007-0430-y

If you are pregnant or a lactating mother, talk to your doctor before using this medicine

Studies have reported that more than 210 gene mutations contribute to the progression of ALS, with mutations in superoxide dismutase 1 (SOD1), fusion sarcoma gene (FUS), TAR DNA binding protein 43 (TDP-43), and other genes being recognized as risk factors for the development of ALS (Smith et al., 2019)

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If you must use it, be extremely cautious with sterile technique and plan for a much shorter usage window.