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Typical pricing Per vial (30 mL): $100-200 from compounding pharmacies Per injection (1 mL from clinic): $25-75 Monthly cost: $100-300 depending on frequency and source Cost factors Compounding pharmacy vs clinic: Getting your own vials and self-injecting is significantly cheaper than clinic-administered injections

At the systemic level, pyruvate oxidation is usually reduced and lactate levels may be elevated in COPD subjects at rest

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