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Your safest stance: encourage medical advice from an appropriately qualified practitioner and bring the client back to what you can control evidence-based topical care, barrier support, and consistent treatment planning

Taking any serotonergic drug: MAOI, SSRI, SNRI, tricyclic, triptan, tramadol, tapentadol, meperidine (pethidine), dextromethorphan (most OTC cough syrups), linezolid, methylene blue, St John's wort, 5-HTP or L-tryptophan

sterile only for single use

If the product source cannot provide credible testing and handling information, the dosage number becomes even less meaningful

This serum layers it at multiple molecular weights, so it hydrates both the surface and deeper layers of your skin at the same time