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Additional presenting symptoms include dysphagia (difficulty swallowing), confusion, seizures, and external ophthalmoplegia
It is legally obtainable in the United States through licensed compounding pharmacies when prescribed by a medical provider for a specific patient after a clinical evaluation
Compounded drugs can be medically appropriate in selected circumstances, but they do not undergo the same FDA premarket review for safety, effectiveness, manufacturing quality, and labeling as approved products
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