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As a multi-dose vial, it can supply multiple injections, making it a practical option for a prescribed treatment plan

Chronic microglial inflammation promotes neuronal lactate supply but impairs its utilization in primary rat astrocyte-neuron co-cultures

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This reference does not suggest if a nootropic works or not -- but it does explain why it may be categorized as a nootropic, as well as serving as a starting point for additional research

Khim 65 (3), 165179

Symptoms of sneezing or generalized pruritus may preceed more severe reactions