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MGL hydrolyzes the 1(3) and 2-ester bonds of MAG at equal rates and exhibits no in vitro catalytic activity against DAG, TAG, or cholsteryl esters (57)

Although dairy and meat products are usually considered good food sources of vitamin B12, the actual B12 levels contained in these products tend to vary greatly, as livestock is regularly supplemented with B12 injections to avoid deficiencies, making for a less than reliable (and natural!) source

There may also be selected patients where rilonacept treatment might be a longer-term alternative

Needed studies for Chemical Defense clinical indication including pharmacokinetics, safety, efficacy, pregnancy, breastfeeding, and review panel recommendations Identify appropriate pediatric dose