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MT-IIs central nervous-system side effects make it the wrong default

Yarasheski KE, et al

They dont have lung disease, but it is recognized that with repeated bouts of EIPH over time, there can be inflammatory changes that may ultimately lead to permanent changes in the architecture of the lungs, particularly around the veins. While this development constitutes a pathologic condition, researchers are convinced that at its outset, EIPH is not a primary pathologic problem

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Compounded formulations may have different stability, so verify with your pharmacy