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Patients should get evaluated for diabetic retinopathy with a retinal exam, preferably done within the 12 months before starting the medication

For MDD, Alpenzin is started at 174mg once per day

El-Khairy L, Vollset SE, Refsum H, Ueland PM

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This stimulates the process of muscle hypertrophy, which is the increase in the size and number of muscle fibers

Its also used in ways not officially approved by regulatory health authorities such as slowing down disease progression in cystic fibrosis patients