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One thing that makes it unusual right off the bat: it's remarkably stable in stomach acid

Chemotherapy with drugs like 5-fluorouracil has also been associated with acute thiamine deficiency by disrupting thiamine activation, so oncology patients receiving such therapy might receive parenteral thiamine supplementation as part of this B-Complex if needed

The absence of approval means there is no licensed manufacturer, no quality standards enforced by health authorities, and no legal framework for medical use
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