However, injectable applications require consideration of total copper load, particularly in patients with conditions affecting copper metabolism such as Wilsons disease or Menkes disease
It is also an important part of how enzymes in the body break down substances like fats, protein and carbohydrates into energy
Mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) triggered by valproate therapy
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However, once opened, the vial should be used within 28 days to maintain safety and efficacy, after which it should be discarded