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When unrecognized, deficiency may progress silently until significant and sometimes irreversible nervous system injury occurs (24)

The two tricarballylic acid moieties are essential for toxicity and they can be removed by hydrolysis of the ester bonds catalyzed by carboxylesterases present in bacteria and fungi

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Store in a cool dry place at temperature not exceeding 30 degree Celsius

Some researchers have advised using site-specific risk assessments for ionizable pharmaceuticals when making informed water management decisions 6,9

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