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Track each vial individually to avoid using degraded products

In a meta-analysis including 95 cohorts ( n = 7,911 patients), the pooled prevalence of nephrotoxicity was 26.7% (95% CI: 22.830.9%) for CST and 29.8% (95% CI: 23.836.7%) for PMB [42]

Mirhafez SR, Azimi-Nezhad M, Dehabeh M, et al

Retrieved 10 November 2014

On the flip side, low levels can mean fatigue, feeling down, and weaker physical performance

The quality of these products varies substantially between vendors, and there is no meaningful consumer protection framework around the purchasing experience
