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Reaction products from a standard MSA-DH assay were fractionated by preparative HPLC separation (compare Figure 4A) and the malate containing fraction was subjected to enantiomeric separation on a Chirex ligand exchange phase 3126
However, the overall results depend on the consistency of treatment and maintaining healthy lifestyle habits
Most patients respond to the combination of oral tranexamic acid, topical hydroquinone and either Q switched Nd:Yag or clear and brilliant laser treatments within 3-4 weeks
Mass Spectrom
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