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Discordant American College of Physicians and international rheumatology guidelines for gout management: consensus statement of the Gout, Hyperuricemia and Crystal-Associated Disease Network (G-CAN) | Nature Reviews Rheumatology
This can happen with improper storage, particularly if the medication was left out of the fridge for too long or exposed to extreme temperatures
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There is conflicting evidence about whether ginkgo induces or inhibits CYP3A4
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