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Dose adjustments may be necessary for patients with kidney impairment, and monitoring for adverse effects such as dizziness or drowsiness is important, as these could impact activities that require alertness, like driving or operating machinery

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The only reliable quality signal when sourcing is a third-party COA showing HPLC purity above 98% and mass-spec molecular weight confirmation near 9,200 Da from a named, ISO-accredited laboratory

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