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Why It Was in Category 2 Despite decades of clinical use in Russia (where it is an approved pharmaceutical), Semax was placed in Category 2 in the US due to safety concerns, likely related to the limited data from US-standard clinical trials and the regulatory gap between international evidence and FDA requirements
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Moreover, case reports in patients with small intestinal bacterial overgrowth further support a microbial contribution to elevated MMA: in such individuals, broad-spectrum antibiotics normalized MMA levels, suggesting that gut bacteria capable of producing propionateand potentially MMA itselfcan significantly elevate systemic concentrations (Tejero et al
What is the status of intravenous injections or infusions as part of a medical procedure

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