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When Sterile Water Is the Better Choice There are specific situations where sterile water is not just acceptable but preferable

In some embodiments, the otoprotectant is a compound of Formula (XI) having the structure of Formula (XIa): In some embodiments, the otoprotectant is any one of the following compounds: or a pharmaceutically acceptable salt, pharmaceutically acceptable solvate or hydrate, pharmaceutically acceptable salt hydrate, or pharmaceutically acceptable prodrug thereof

Likewise, in the United Kingdom, the Medicines and Healthcare products Regulatory Agency (MHRA) has not authorized it for therapeutic use, highlighting the importance of regulatory processes in ensuring drug safety

Human trials are small, but results have been promising

However, people with normal intestinal absorption and mild to moderate B12 deficiency symptoms can take oral B12 supplementation (B12 and folic acid pills)