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Patient Management and Clinical Protocols Monitoring and Precautions Vigilance: Patients should be screened for signs of lactic acidosis (extreme weakness, muscle pain, unusual sleepiness)

This inflammatory process involves macrophage secretion of pro-inflammatory cytokines, platelet-derived growth factor, and interlukin-1

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Associate Professor Deshan Sebaratnam, a dermatologist at Liverpool Hospital, says the Melanotan II found within some tanning nasal sprays is a synthetic form of the alpha melanocyte stimulating hormone

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