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The brand-name version, Cytomel, is currently marketed by King Pharmaceuticals, a subsidiary of Pfizer, and is manufactured in the U.S
Specifically, robust evidence from large-scale, multicenter randomized controlled trials is still needed to conclusively establish efficacy, determine optimal dosing and timing strategies, and fully evaluate safety before widespread clinical adoption in RDS management can be recommended
Those with minimal early response may have biological factors limiting their response, but this represents baseline responsiveness rather than declining effectiveness over time
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