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10.1016/j.cej.2025.163262 28

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Reported effects are generally mild and may include injection-site reactions (redness, soreness, swelling), nausea, stomach upset, headache, or fatigue

Stroke and the immune system: from pathophysiology to new therapeutic strategies

The properties of this compound suggest a path towards developing antibiotics that are likely to avoid development of resistance

But if you suspect a storage issue AND notice reduced effectiveness, the most prudent action is to start with a fresh, properly stored supply and see if your results improve