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The use of Dexamethasone Sodium Phosphate Injection in active tuberculosis should be restricted to those cases of fulminating or disseminated tuberculosis in which the corticosteroid is used for the management of the disease in conjunction with an appropriate anti-tuberculosis regimen

The two key modifications Arg substitution and the MFPAMPLSSLFVNG N-terminal extension dramatically reduce binding to IGF-binding proteins (IGFBPs), extending plasma half-life from ~10 minutes (native IGF-1) to 2030 hours while increasing potency at the IGF-1 receptor

If only a small amount of the intestine is affected, it may be that actually the stools look completely normal and you're not aware of that

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