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The safety goals are valid, but the reality is more complicated There have been real concerns about variable quality among compounded products, mislabeled vials, dosing discrepancies, and contamination risks
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Allergic or anaphylactoid reactions to ingredients or preservatives, though rare, are also possible
During I/R injury, gut-derived endotoxins such as lipopolysaccharide (LPS) can translocate from the gut into the systemic circulation, triggering inflammation and immune activation (Suganya and Koo, 2020
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