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Severe kidney disease (eGFR below 30 mL/min/1.73m) represents a relative contraindication requiring specialist input

That means there is no assurance the vial contains what the label says, at the stated dose, free of contaminants

Based on our previous report, we selected five chemical drugs: l-carnitine, creatine, terazosin, taurine, and tyrosine that have shown potential in improving neuromuscular diseases 28