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Common MS medications that have been checked for interactions include: Injectable DMTs: Interferons (Avonex, Rebif, Betaferon), glatiramer acetate (Copaxone) Oral DMTs: Fingolimod (Gilenya), dimethyl fumarate (Tecfidera), teriflunomide (Aubagio), siponimod (Mayzent), cladribine (Mavenclad) Infusion DMTs: Natalizumab (Tysabri), ocrelizumab (Ocrevus), alemtuzumab (Lemtrada) While there are no direct interactions, some practical considerations apply: Immunosuppressive DMTs: Maintaining adequate nutrition and hydration is important when taking immunosuppressive medications

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Manganese transporter Slc39a14 deficiency revealed its key role in maintaining manganese homeostasis in mice

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Bowel obstruction Small increases in resting heart rate Thyroid C-cell tumors observed in animal studies Dizziness or lightheadedness Dry mouth or increased thirst Vision changes Dehydration related to excessive vomiting or diarrhea Temporary hair shedding during rapid weight reduction Severe allergic reactions, including swelling of the face or throat or difficulty breathing, require immediate medical attention

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