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however, several conditions warrant caution and careful medical supervision when considering ALA therapy

This is the core question, and I want to give you a careful answer rather than a confident-sounding one that papers over genuine uncertainty

The highest-risk periods are typically: when primary composition families approach expiry, when method-of-treatment families still cover labeled indications but are narrowed by court interpretations, and when biosimilar substitution becomes feasible under interchangeability and labeling rules

2) Storage: - Store in a cool, dry place away from direct sunlight

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