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Pump Application: Apply 24 pumps to clean, dry skin on the desired external area once or twice daily

PubMed was use to do a search of key terms for ALS (ALS, amyotrophic lateral sclerosis, neurodegeneration, motor neuron disease), in combination with key terms for MRS (MRS, proton MRS, magnetic resonance spectroscopy, 1 H-MRS) and the above metabolites

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The article says persistent or severe bruising deserves immediate provider contact, and gives concrete signals: swelling larger than two inches, pain, or warmth, which need evaluation to exclude a hematoma or infection