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Drug Metab Dispos 29:855862 Serbinova E, Khwaja S, Reznick AZ, Packer L (1992) Thioctic acid protects against ischemia-reperfusion injury in the isolated perfused Langendorff heart

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They may recommend anti-emetic medications, temporary dose reduction, or slower dose escalation

For precise dosing, use the smallest syringe that can hold your required volume