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10.1038/s41598-018-19223-2 175

Beyond this timeframe, keeping your medication in a portable cooler or insulated travel case with ice packs is the safest approach to preserve the compound's therapeutic strength

Interestingly, a study that was excluded from this review because detailed CTCAE counts were not provided, reports a protective effect of administering oral glutamine (15)

They may contain: Toxic or untested ingredients Wrong or unsafe dosages Contaminants such as microbes or heavy metals Harmful or unknown fillers Some fake products may even copy packaging but do not follow proper manufacturing or hygiene standards

Klicek R et al

If time allows: Administer a conservative dose (e.g., based on ideal body weight) and then check the level two hours later