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The second hypothesis also involves redox reactions from the major methylated pyrrolopyrazine thione (structure 4, Figure 9) in the presence of oxygen, contributing to a flux of reactive oxygen species [61,62]

The injection is typically self-administered by the patient at home after an initial in-clinic training session

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This excretion is gradual, with metabolites appearing in urine over an extended period, ensuring the drugs long-term effectiveness

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