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Ensure the pen is at room temperature before use and check the solution for clarity and absence of particles

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As pharmacotherapy in the treatment of fatigue is not established, cognitive training and neuro-rehabilitation seem to play a key role in disease management (Sailer et al., 2023)
Low white blood cell and/or platelet counts can be seen, occurring 7-10 days after drug administration

18, 19, 65, 66 Given that both carnitine deficiency and PPA can be detrimental to mitochondrial metabolism, it is possible that antibiotic overuse can cause these two effects to act synergistically to cause an acquired mitochondrial disorder, especially in genetically susceptible individuals
