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Bone microstructure High-resolution peripheral quantitative computed tomography (HR-pQCT) revealed declines in vBMD at both the radius and tibia, with particularly pronounced reductions in total and cortical vBMD at the tibia in postmenopausal women

doi: 10.7759/cureus.52099

It's not a substitute for FDA approval, and you should still verify VialsRx's license directly through the Texas State Board of Pharmacy

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Patients with diabetes or at risk of diabetes require particularly close glucose monitoring due to corticosteroids' hyperglycaemic effects