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10.1186/s12905-019-0795-1 98 PrrizasM.SaltielA

10.1016/S0002-9440(10)63876-X 69

In renal disease, gynecomastia occurs in 50% of patients on hemodialysis, primarily due to Leydig's cell dysfunction

Citicoline (100 M, 36-48 h) attenuates oxidative stress in mice cochlear HCs and HEI-OC-1 cells after Neomycin injury [3]

For trips shorter than this period in moderate climates, you may not need continuous refrigeration, though it remains ideal to refrigerate whenever possible to maximize medication lifespan