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The symptoms more likely reflect medication intolerance requiring dose adjustment and supportive care rather than vitamin supplementation

doi: 10.1111/j.1476-5381.1990.tb13017.x

A product can pass USP sterility (no viable organisms) and still carry a clinically significant endotoxin load from organisms that were present earlier in the manufacturing process and killed during sterilization

The Merriam-Webster definition is: Any of various amides that are derived from two or more amino acids by combination of the amino group of one acid with the carboxyl group of another and are usually obtained by partial hydrolysis of proteins Merriam-Webster This covers a lot of molecules, some of which are already widely used

or if you are receiving any medication or treatment that affects bone marrow