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Appropriate penicillin therapy often leads to radiologic improvement or resolution ( This case underscores a critical clinical principle: in the presence of serological abnormalities, if imaging and clinical data strongly indicate a neoplastic processsuch as a focal mass causing progressive spinal cord compressionsurgical intervention should not be unduly delayed on the basis of seropositivity alone
Neither medication is the "safe" choice
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The COA reports HPLC purity (99%), mass spectrometry identity confirmation, visual appearance, residual solvents, and moisture content for the exact lot shipped
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