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Protect the vial from light, moisture and repeated temperature changes

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Clinical evaluation: Patient history: symptoms such as weight changes, energy levels, temperature sensitivity, and emotional well-being can provide clues

Combined testing Using combined muscle biopsy, electromyography, and nerve conduction studies, the likelihood of making a diagnosis in patients with asymptomatic elevated CK is 28% on average (range of studies 4%79%), 2,7,21,2628,3032 and findings are nonspecific in 30% to 40% of cases

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