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Precautions Avoid use in known vitamin hypersensitivity cases Use carefully in patients with kidney or liver impairment Pregnant or breastfeeding women should take medical advice Always follow the prescribed dosage strictly Store in a cool, dry place away from sunlight Following precautions ensures safe therapy and better clinical outcomes

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Postoperative pathological results showed an extramural rectal tumor with necrosis and significant desmoplasia, while IHC showed PAX-8 (+), PAX-2 (), CK7 (+), CK20 (), CK5/6 (), CDX-2 (), GATA-3 (), Calretinin (), D2-40 (), WT-1 (), GCDFP-15 (), AR (), ER (minimal, +), NapsinA (), and Ki-67 (+) in about 30%, which was consistent with metastatic adenocarcinoma and liver tumor with diffuse necrosis ( Figure 4 )

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Example: 5 mg vial + 2 mL water = 5,000 mcg 2 mL = 2,500 mcg/mL