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meal should be taken at least 30 min after ALA administration [92]

However, prescribers must be aware that the FDA issued a safety alert in April 2025 specifically addressing compounded topical finasteride

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This results in activated T cells & B cells that produce an anti-citrulline inflammatory response that affects the joints, resulting in swelling and degradation of both cartilage and bone (Schur & Firestein, 2012) as illustrated in Figures 3, 4 & 5