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This distinction is important because it means the visual expectations for brand-name pens and compounded vials are completely different

Wash your hair first, towel dry, then apply

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One well-documented interaction is with certain anti-epileptic drugs: high-dose pyridoxine may reduce the plasma levels of phenytoin and phenobarbital by enhancing their hepatic metabolism, potentially diminishing their anticonvulsant efficacy

But Pfizer was less definitive

This can be particularly appealing to patients who have struggled with low levels in the past and want something more reliable than oral supplements