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Description
These are transient and manageable, but only if the clinician knows how to modulate the drip rate in real time based on patient feedback
After a couple of days, patients are typically able to resume normal activities

34 Notably, ALA is an enantiomer and occurs naturally in its R isoform, yet synthetic ALA is a racemic mixture of the R and S isoforms and the S-ALA has been found to increase bioavailability by preventing polymerization of R-ALA

Annayev, A
