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Thursday 22 October 2026 17:58:52 GMT

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Марина :

Большое спасибо Александр за эту замечательную песню 🔥💕🌹

2026-10-22 18:05:28

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Галина :

2026-10-22 23:57:47

3

🦋Светлана🦋 :

Добрый вечер Александр физкульт привет👋Спасибки за здоровскую песню👍👌🕺🎶❤️Всегда рада за Тебя пусть всегда и во всём везёт😉👍

2026-10-22 18:18:41

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Галина :

2026-10-22 23:30:08

3

Галина :

2026-10-22 22:28:45

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Галина :

2026-10-22 22:19:42

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Галина :

2026-10-22 22:19:18

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Галина :

2026-10-22 23:06:54

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Галина :

2026-10-22 22:15:34

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Галина :

2026-10-22 22:10:52

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Галина :

2026-10-22 22:04:04

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Галина :

2026-10-22 22:00:21

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Галина :

2026-10-22 22:40:18

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Галина :

2026-10-22 22:37:26

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Галина :

2026-10-22 22:33:19

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Галина :

2026-10-22 21:18:40

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Галина :

2026-10-22 22:37:46

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Галина :

2026-10-22 22:20:34

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Галина :

2026-10-22 22:15:02

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Галина :

2026-10-22 23:03:47

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Галина :

2026-10-22 21:54:25

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Галина :

2026-10-22 22:10:05

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Галина :

2026-10-22 21:56:10

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Le meilleur trépied pour faire vos meilleurs Tiktok ✨ Je vous mets le lien dans ma bio :) #videotiktok #videotips #trepied

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En Valentina revisamos dos años de actividad digital y el patrón es claro. Los medios de Salinas Pliego dieron a Alessandra Rojo de la Vega diez veces más cobertura que a otros alcaldes opositores, mientras La Derecha Diario publicó decenas de piezas a su favor sin una sola crítica.No promueven a toda la oposición, solo a ella, y golpean a quien le estorba. Más que una alcaldesa, es la apuesta política de un empresario.

En Valentina revisamos dos años de actividad digital y el patrón es claro. Los medios de Salinas Pliego dieron a Alessandra Rojo de la Vega diez veces más cobertura que a otros alcaldes opositores, mientras La Derecha Diario publicó decenas de piezas a su favor sin una sola crítica.No promueven a toda la oposición, solo a ella, y golpean a quien le estorba. Más que una alcaldesa, es la apuesta política de un empresario.

Full body whitening lotion #1millionviews #dontunderreviewmyvideo #foryoupage #viewsproblem😭 #fffffffffffyyyyyyyyyyypppppppppppp @jannat's Skincare

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🌸💊 DRUG OF THE DAY | EPOETIN ALFA! 🩸 A patient with chronic kidney disease develops anemia. 🤔 Which medication stimulates red blood cell production? 📚 SAVE this HIGH-YIELD NAPLEX cheat sheet! ✅ EPOETIN ALFA (EPOGEN / PROCRIT) 🔵 DRUG CLASS: Erythropoiesis-Stimulating Agent (ESA) 🎯 COMMON INDICATIONS: ✔️ Anemia due to chronic kidney disease (CKD) ✔️ Anemia associated with certain chemotherapy regimens ✔️ Anemia due to zidovudine in selected patients with HIV ✔️ Reduction of transfusion needs in certain surgical patients 🧠 MECHANISM OF ACTION: Epoetin alfa acts like endogenous erythropoietin, a hormone normally produced by the kidneys. It stimulates erythroid precursor cells in the bone marrow. 🩸 RESULT: ⬆️ Red blood cell production ⬆️ Hemoglobin levels ⬇️ Need for blood transfusions 🚨 WHY DOES CKD CAUSE ANEMIA? Damaged kidneys produce less erythropoietin. This leads to reduced red blood cell production and can cause fatigue, weakness, and shortness of breath. 💉 DOSING & ADMINISTRATION: ✔️ Administered subcutaneously or intravenously. ✔️ Dosing depends on indication, clinical setting, and hemoglobin response. ✔️ Use the lowest effective dose to reduce the need for RBC transfusions. ✔️ Dose adjustments require regular hemoglobin monitoring. ⚠️ IMPORTANT ADVERSE EFFECTS: 🔸 Hypertension 🔸 Headache 🔸 Injection-site reactions 🔸 Blood clots 🚨 Stroke and other serious cardiovascular events 🚨 Rare pure red cell aplasia ⭐ HIGH-YIELD NAPLEX PEARLS: 💡 EPOETIN ALFA = STIMULATES RBC PRODUCTION! 💡 ESAs do NOT replace iron supplementation when iron deficiency is present. 💡 Evaluate iron stores before and during treatment. 💡 Monitor hemoglobin, blood pressure, ferritin, and transferrin saturation (TSAT). 💡 Uncontrolled hypertension is a contraindication to epoetin alfa. 💡 ESAs carry a BOXED WARNING for increased risk of death, myocardial infarction, stroke, venous thromboembolism, and other serious complications. 💡 In CKD, targeting higher hemoglobin levels with ESAs increases cardiovascular risk. Avoid using ESAs to normalize hemoglobin. 🩺 PATIENT COUNSELING: ✅ Attend scheduled laboratory appointments. ✅ Monitor blood pressure regularly. ✅ Report severe headache, chest pain, shortness of breath, or leg swelling. ✅ Take prescribed iron supplementation when indicated. ✅ Do not change the dose without medical guidance. 🧠 MEMORY TIP: EPO = ERYTHROPOIETIN 🩸 EPOETIN ALFA = MORE RED BLOOD CELLS! 💬 PHARMACY STUDENTS: What TWO laboratory tests help assess iron status before ESA treatment? 👇 Comment your answer! 📌 SAVE this poster for your NAPLEX renal review! 💙 Follow @dr_malak5.6 for daily DRUG OF THE DAY posters, renal pharmacotherapy, medication safety, and high-yield clinical pearls! #NAPLEX #NAPLEXPrep #EpoetinAlfa #Epogen #Procrit

🌸💊 DRUG OF THE DAY | EPOETIN ALFA! 🩸 A patient with chronic kidney disease develops anemia. 🤔 Which medication stimulates red blood cell production? 📚 SAVE this HIGH-YIELD NAPLEX cheat sheet! ✅ EPOETIN ALFA (EPOGEN / PROCRIT) 🔵 DRUG CLASS: Erythropoiesis-Stimulating Agent (ESA) 🎯 COMMON INDICATIONS: ✔️ Anemia due to chronic kidney disease (CKD) ✔️ Anemia associated with certain chemotherapy regimens ✔️ Anemia due to zidovudine in selected patients with HIV ✔️ Reduction of transfusion needs in certain surgical patients 🧠 MECHANISM OF ACTION: Epoetin alfa acts like endogenous erythropoietin, a hormone normally produced by the kidneys. It stimulates erythroid precursor cells in the bone marrow. 🩸 RESULT: ⬆️ Red blood cell production ⬆️ Hemoglobin levels ⬇️ Need for blood transfusions 🚨 WHY DOES CKD CAUSE ANEMIA? Damaged kidneys produce less erythropoietin. This leads to reduced red blood cell production and can cause fatigue, weakness, and shortness of breath. 💉 DOSING & ADMINISTRATION: ✔️ Administered subcutaneously or intravenously. ✔️ Dosing depends on indication, clinical setting, and hemoglobin response. ✔️ Use the lowest effective dose to reduce the need for RBC transfusions. ✔️ Dose adjustments require regular hemoglobin monitoring. ⚠️ IMPORTANT ADVERSE EFFECTS: 🔸 Hypertension 🔸 Headache 🔸 Injection-site reactions 🔸 Blood clots 🚨 Stroke and other serious cardiovascular events 🚨 Rare pure red cell aplasia ⭐ HIGH-YIELD NAPLEX PEARLS: 💡 EPOETIN ALFA = STIMULATES RBC PRODUCTION! 💡 ESAs do NOT replace iron supplementation when iron deficiency is present. 💡 Evaluate iron stores before and during treatment. 💡 Monitor hemoglobin, blood pressure, ferritin, and transferrin saturation (TSAT). 💡 Uncontrolled hypertension is a contraindication to epoetin alfa. 💡 ESAs carry a BOXED WARNING for increased risk of death, myocardial infarction, stroke, venous thromboembolism, and other serious complications. 💡 In CKD, targeting higher hemoglobin levels with ESAs increases cardiovascular risk. Avoid using ESAs to normalize hemoglobin. 🩺 PATIENT COUNSELING: ✅ Attend scheduled laboratory appointments. ✅ Monitor blood pressure regularly. ✅ Report severe headache, chest pain, shortness of breath, or leg swelling. ✅ Take prescribed iron supplementation when indicated. ✅ Do not change the dose without medical guidance. 🧠 MEMORY TIP: EPO = ERYTHROPOIETIN 🩸 EPOETIN ALFA = MORE RED BLOOD CELLS! 💬 PHARMACY STUDENTS: What TWO laboratory tests help assess iron status before ESA treatment? 👇 Comment your answer! 📌 SAVE this poster for your NAPLEX renal review! 💙 Follow @dr_malak5.6 for daily DRUG OF THE DAY posters, renal pharmacotherapy, medication safety, and high-yield clinical pearls! #NAPLEX #NAPLEXPrep #EpoetinAlfa #Epogen #Procrit

@rafael_cabral.mj @mclivinho #rafaelcabralcy #mjmusiccy

@rafael_cabral.mj @mclivinho #rafaelcabralcy #mjmusiccy

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