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Several complex I inhibitors have been evaluated clinically and discontinued due to neurotoxicity and adverse side effects (IACS-010759, Tamoxifen, Piericidin A, Phenformin) (76, 77)

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Incorrect reconstitution can lead to: inconsistent dosing reduced clinical effectiveness increased likelihood of side effects difficulty assessing treatment response over time Accurate reconstitution helps ensure each measured dose delivers the intended number of international units, supporting predictable and consistent use within a clinician-led TRT protocol

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