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In the next, extremely unfavorable elimination step (step 2), the conjugate base of the amine is kicked out from the tetrahedral intermediate: The reaction is driven to completion in a quick, irreversible deprotonation of the carboxylic acid by the newly formed RNH
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Your prescribing provider gives you written instructions specific to your vial size and prescribed dose
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Dexamethasone injections are prescriptiononly and usually administered by healthcare professionals
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