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One major reason is the availability of skilled manpower and modern facilities

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At $100,000 per kilogram, the drug compound alone for an oral monthly supply could already cost around $150, versus less than $1 for the injectable before factoring in formulation, packaging, distribution, or profit

For example you could list any symptoms you have that mean recording would be useful eg brain fog memory problems poor hearing tinnitus poor concentration fatigue BMJ have a good article on patients recording appointments