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The standard method requires trickling a compatible solvent, like bacteriostatic water, slowly down the inside glass wall of the vial, followed by gentle hand-swirling to prevent fracturing the molecular bonds

Because of their usually benign biologic behavior, MNTI must be distinguished from small cell malignancies that occur in childhood, including metastatic neuroblastoma, primitive PNET, and rhabdomyosarcoma

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It is typically administered as a once-weekly subcutaneous injection in clinical studies