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Anion exchange (positively charged stationary phase): quaternary ammonium (Q) - strong anion exchanger diethylaminoethyl (DEAE) - weak anion exchanger Cation exchange (negatively charged stationary phase): methyl sulfonate (S) - strong cation exchanger carboxymethyl (CM) - weak cation exchanger Strong exchangers should be used when the pH required for binding is very acidic or basic (assuming this pH is also appropriate for maintaining protein stability), as the functional groups remain charged over a larger pH range, [38]

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Hence it is acceptable for use upon your doctor's recommendation if you are a nursing mother

Successful treatment of postural orthostatic tachycardia and mast cell activation syndromes using naltrexone, immunoglobulin and antibiotic treatment BMJ Case Rep