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The lyophilization process removes moisture that would otherwise drive hydrolysis, making freeze-dried peptides significantly more stable than liquid formulations for long-term storage

Neurological examination revealed a positive Rombergs sign, absent Achilles tendon reflexes bilaterally, absent Babinski signs, and impaired vibration sense (medial malleolus: right 2 s/left 1 s

The most obvious sign is a change in appearance

[1] Because this formulation is individually prepared, composition and excipients can vary slightly according to prescriber specification