Herb & supplement monograph

Germanium Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Germanium

0 medications have a known interaction with Germanium, graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Germanium. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Germanium combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Germanium: Uses, Safety & Side Effects

The bottom line

Germanium is a chemical element sometimes sold as a dietary supplement, but there is no reliable evidence it treats any disease. More importantly, germanium supplements have been linked to serious and sometimes fatal kidney damage, so health authorities have warned against their use. We do not recommend taking germanium supplements.

Part used
Not a plant; germanium is a chemical element (mineral)
Common forms
Capsules, tablets, powders (often as germanium-132 / organic germanium or inorganic germanium salts)
People commonly use it for
  • Immune support
  • Cancer (unproven, alternative therapy)
  • Antioxidant claims
  • Pain relief
  • General wellness/anti-aging

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallBest avoided

Germanium supplements have caused serious kidney damage and deaths and should be avoided.

PregnancyLikely Unsafe

When used orally due to reported toxicity; avoid using.

Read the full pregnancy detail
BreastfeedingLikely Unsafe

When used orally due to reported toxicity; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Germanium is a chemical element (a metalloid), not a plant or herb. It is found naturally in tiny amounts in soil, water, and some foods. In industry, germanium is used in electronics, fiber optics, and certain glass and metal products.

Starting in the past few decades, germanium was marketed as a dietary supplement and sold under names like "organic germanium" or "germanium-132." Sellers promoted it for immune support, cancer, and general health. Despite these claims, germanium supplements have a serious safety record, and major health authorities have warned people not to take them.

How it works

Marketers have proposed that certain germanium compounds act as antioxidants or stimulate the immune system. These ideas come mostly from laboratory and animal research and have not been confirmed to work safely in people.

It is important to know that the body does not need germanium to function—it is not an essential nutrient. In contrast, the harmful effects of germanium are well documented: it can build up in body tissues, especially the kidneys, and cause damage.

Effectiveness

Does Germanium work?

Evidence overview · 2 uses evaluated
2 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Germanium, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 2 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Cancer
Rating & evidence shown verbatim from Natural Medicines

Researchers have been interested in spirogermanium, an organometallic form of germanium, as an alternative or palliative treatment for various kinds of cancer including breast cancer, colon cancer, prostate cancer, ovarian cancer, head and neck cancer, and lung cancer. However, response rates in phase I and II trials have generally been low, with only a few reports of partial responses or stable disease.

Insufficient Reliable Evidence To Rate Hepatitis B
Rating & evidence shown verbatim from Natural Medicines

Preliminary clinical research shows that taking a specific product (Serocion, Yamanouchi) containing propagermanium, an organometallic form of germanium, orally 30 mg daily for 16 weeks, helps to clear hepatitis B e-antigen (HBeAg) from the blood, suggesting a reduction in the amount of active virus. The response is sustained for at least 48 weeks.

Sources Ref 51743

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

Germanium supplements are considered unsafe. Long-term use of both inorganic germanium and so-called "organic" germanium products has been linked to serious kidney damage (kidney failure), and some cases have been fatal. Damage to nerves, muscles, and other organs has also been reported.

Health authorities, including the U.S. FDA, have warned that germanium products taken by mouth pose a potential human health hazard. People with any kidney problems are at especially high risk, but harm has occurred even in people without prior kidney disease.

Pregnancy and breastfeeding: Germanium should be avoided during pregnancy and breastfeeding. There is no safety data supporting its use, and the known toxicity risks make it especially dangerous during these times.

Side effects

Reported side effects and harms from germanium supplements include:

  • Kidney injury and kidney failure (sometimes permanent or fatal)
  • Anemia and changes in blood counts
  • Muscle weakness and nerve problems
  • Nausea, vomiting, diarrhea, and weight loss
  • Liver problems

Some of these effects may appear only after weeks or months of use, and they may not fully reverse even after stopping the supplement. If you have taken germanium and feel unwell, contact a healthcare provider promptly.

Germanium: Reported Adverse Effects

Documented safety reports on Germanium from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Orally, germanium is well tolerated in amounts typically found in the diet, 0.4-3.4 mg daily. However, there have been more than 30 reports of renal tubular cell damage with renal failure, hepatic steatosis, lactic acidosis, myopathy, peripheral neuropathy, cerebellar ataxia, and degeneration of the dorsal column of the spinal cord, in some cases leading to death, when organic or inorganic germanium compounds are taken orally.

  1. Tao SH, Bolger, PM. Hazard assessment of germanium supplements. Regul Toxicol Pharmacol 1997;25:211-9.
  2. Schauss, A. G. Nephrotoxicity in humans by the ultratrace element germanium. Ren Fail. 1991;13(1):1-4.
  3. Higuchi I, Izumo S, Kuriyama M, et al. Germanium myopathy: clinical and experimental pathological studies. Acta Neuropathol (Berl) 1989;79:300-4..
  4. Matsusaka T, Fujii M, Nakano T, et al. Germanium-induced nephropathy: report of two cases and review of the literature. Clin Nephrol 1988;30:341-5..
  5. Hess B, Raisin J, Zimmermann A, et al. Tubulointerstitial nephropathy persisting 20 months after discontinuation of chronic intake of germanium lactate citrate. Am J Kidney Dis 1993;21:548-52..
  6. Luck BE, Mann H, Melzer H, et al. Renal and other organ failure caused by germanium intoxication. Nephrol Dial Transplant 1999;14:2464-8.
  7. Schauss AG. Nephrotoxicity and neurotoxicity in humans from organogermanium compounds and germanium dioxide. Biol Trace Elem Res 1991;29:267-80..
  8. Asaka T, Nitta E, Makifuchi T, et al. Germanium intoxication with sensory ataxia. J Neurol Sci 1995;130:220-3..
  9. Sanai T, Okuda S, Onoyama K, et al. Germanium dioxide-induced nephropathy: a new type of renal disease. Nephron. 1990;54:53-60..
  10. Krapf R, Schaffner T, Iten PX. Abuse of germanium associated with fatal lactic acidosis. Nephron 1992;62:351-6..
  11. Takeuchi A, Yoshizawa N, Oshima S, et al. Nephrotoxicity of germanium compounds: report of a case and review of the literature. Nephron 1992;60:436-42..
  12. Fujimoto, M., Ishibashi, H., Shimamura, R., Takahashi, K., Hirata, Y., Kudo, J., Niho, Y., Kira, J., and Miyata, K. [A patient with liver cirrhosis manifesting various symptoms including cerebellar ataxia due to germanium intoxication]. Fukuoka Igaku Zass
  13. Raisin, J., Hess, B., Blatter, M., Zimmermann, A., Descoeudres, C., Horber, F. F., and Jaeger, P. [Toxicity of an organic Germanium compound: deleterious consequences of a "natural remedy"]. Schweiz.Med.Wochenschr. 1-8-1992;122(1-2):11-13.
  14. Kamijo, M., Yagihashi, S., Kida, K., Narita, S., and Nakata, F. [An autopsy case of chronic germanium intoxication presenting peripheral neuropathy, spinal ataxia, and chronic renal failure]. Rinsho Shinkeigaku 1991;31(2):191-196.
  15. Obara, K., Saito, T., Sato, H., Yamakage, K., Watanabe, T., Kakizawa, M., Tsukamoto, T., Kobayashi, K., Hongo, M., and Yoshinaga, K. Germanium poisoning: clinical symptoms and renal damage caused by long-term intake of germanium. Jpn.J.Med. 1991;30(1):67-
  16. Van der Spoel, J. I., Stricker, B. H., Schipper, M. E., de Bruijn, W., de Smet, P. A., and Esseveld, M. R. [Toxic damage of kidney, liver and muscle attributed to the administration of germanium-lactate-citrate]. Ned.Tijdschr.Geneeskd. 6-22-1991;135(25):1
  17. Iijima, M., Mugishima, M., Takeuchi, M., Uchiyama, S., Kobayashi, I., and Maruyama, S. [A case of inorganic germanium poisoning with peripheral and cranial neuropathy, myopathy and autonomic dysfunction]. No To Shinkei 1990;42(9):851-856.
  18. Nagata, N., Yoneyama, T., Yanagida, K., Ushio, K., Yanagihara, S., Matsubara, O., and Eishi, Y. Accumulation of germanium in the tissues of a long-term user of germanium preparation died of acute renal failure. J.Toxicol.Sci. 1985;10(4):333-341.
  19. Wang L, Zheng C, Zhao D. Successful management of germanium poisoning-induced multiple organ dysfunctions by combined blood purification therapy. Curr Med Res Opin. 2020 Apr;36(4):687-691.
Reports by condition
Alcohol-related liver disease Hepatic
Anemia Hematologic
Depression Psychiatric
Epilepsy Neurologic/CNS
Myasthenia gravis Dermatologic

Orally, one case of skin rash has been reported for a 38-year-old woman who had taken 600 mg of a germanium preparation as an elixir daily for 18 months. The preparation was found to be mainly germanium dioxide with some organic compound present.

  1. Nagata, N., Yoneyama, T., Yanagida, K., Ushio, K., Yanagihara, S., Matsubara, O., and Eishi, Y. Accumulation of germanium in the tissues of a long-term user of germanium preparation died of acute renal failure. J.Toxicol.Sci. 1985;10(4):333-341.
Myasthenia gravis Renal

Orally, germanium can cause renal tubular degeneration and renal failure. In one case report, a 38-year-old woman presented with renal failure eventually leading to death after taking 600 mg of a germanium preparation daily for 18 months as an elixir. The preparation was found to be mainly germanium dioxide with some organic compound present. In another case, severe lactic acidosis causing death was thought to be related to renal tubular degeneration leading to renal failure.

  1. Tao SH, Bolger, PM. Hazard assessment of germanium supplements. Regul Toxicol Pharmacol 1997;25:211-9.
  2. Matsusaka T, Fujii M, Nakano T, et al. Germanium-induced nephropathy: report of two cases and review of the literature. Clin Nephrol 1988;30:341-5..
  3. Hess B, Raisin J, Zimmermann A, et al. Tubulointerstitial nephropathy persisting 20 months after discontinuation of chronic intake of germanium lactate citrate. Am J Kidney Dis 1993;21:548-52..
  4. Schauss AG. Nephrotoxicity and neurotoxicity in humans from organogermanium compounds and germanium dioxide. Biol Trace Elem Res 1991;29:267-80..
  5. Krapf R, Schaffner T, Iten PX. Abuse of germanium associated with fatal lactic acidosis. Nephron 1992;62:351-6..
  6. Takeuchi A, Yoshizawa N, Oshima S, et al. Nephrotoxicity of germanium compounds: report of a case and review of the literature. Nephron 1992;60:436-42..
  7. Luck, B. E., Mann, H., Melzer, H., Dunemann, L., and Begerow, J. Renal and other organ failure caused by germanium intoxication. Nephrol.Dial.Transplant. 1999;14(10):2464-2468.
  8. Obara, K., Saito, T., Sato, H., Yamakage, K., Watanabe, T., Kakizawa, M., Tsukamoto, T., Kobayashi, K., Hongo, M., and Yoshinaga, K. Germanium poisoning: clinical symptoms and renal damage caused by long-term intake of germanium. Jpn.J.Med. 1991;30(1):67-
  9. Schauss, A. G. Nephrotoxicity in humans by the ultratrace element germanium. Ren Fail. 1991;13(1):1-4.
  10. Nagata, N., Yoneyama, T., Yanagida, K., Ushio, K., Yanagihara, S., Matsubara, O., and Eishi, Y. Accumulation of germanium in the tissues of a long-term user of germanium preparation died of acute renal failure. J.Toxicol.Sci. 1985;10(4):333-341.
Myasthenia gravis Musculoskeletal

Orally, muscle weakness or myopathy are among the most common symptoms of germanium toxicity. In one case report, a 38-year-old woman presented with myopathy after taking 600 mg of a germanium preparation daily for 18 months as an elixir. The preparation was found to be mainly germanium dioxide with some organic compound present.

  1. Nagata, N., Yoneyama, T., Yanagida, K., Ushio, K., Yanagihara, S., Matsubara, O., and Eishi, Y. Accumulation of germanium in the tissues of a long-term user of germanium preparation died of acute renal failure. J.Toxicol.Sci. 1985;10(4):333-341.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no safe or established dose of germanium as a dietary supplement, and we do not recommend taking it at all. Toxicity has been reported across a range of amounts and durations, so there is no "low" dose proven to be safe.

If you are considering germanium for any reason, please talk with a pharmacist or doctor first and discuss safer, evidence-based options instead.

Pregnancy & Breastfeeding
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 30 references that drive our Germanium monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Tao SH, Bolger, PM. Hazard assessment of germanium supplements. Regul Toxicol Pharmacol 1997;25:211-9.
  2. Budman DR, Schulman P, Vinciguerra V, Degnan TJ. Phase I trial of spirogermanium given by infusion in a multiple-dose schedule. Cancer Treat Rep 1982;66:173-5..
  3. Mainwaring MG, Poor C, Zander DS, Harman E. Complete remission of pulmonary spindle cell carcinoma after treatment with oral germanium sesquioxide. Chest 2000;117:591-3.. PubMed
  4. Vogelzang NJ, Gesme DH, Kennedy BJ. A phase II study of spirogermanium in advanced human malignancy. Am J Clin Oncol 1985;8:341-4.. PubMed
  5. Ettinger DS, Finkelstein DM, Donehower RC, et al. Phase II study of N-methylformamide, spirogermanium, and 4-demethoxydaunorubicin in the treatment of non-small cell lung cancer (EST 3583): an Eastern Cooperative Oncology Group study. Med Pediatr Oncol 1 PubMed
  6. Higuchi I, Izumo S, Kuriyama M, et al. Germanium myopathy: clinical and experimental pathological studies. Acta Neuropathol (Berl) 1989;79:300-4.. PubMed
  7. Matsusaka T, Fujii M, Nakano T, et al. Germanium-induced nephropathy: report of two cases and review of the literature. Clin Nephrol 1988;30:341-5..
  8. Hess B, Raisin J, Zimmermann A, et al. Tubulointerstitial nephropathy persisting 20 months after discontinuation of chronic intake of germanium lactate citrate. Am J Kidney Dis 1993;21:548-52.. PubMed
  9. Luck BE, Mann H, Melzer H, et al. Renal and other organ failure caused by germanium intoxication. Nephrol Dial Transplant 1999;14:2464-8. PubMed
  10. Schauss AG. Nephrotoxicity and neurotoxicity in humans from organogermanium compounds and germanium dioxide. Biol Trace Elem Res 1991;29:267-80.. PubMed
  11. Schein PS, Slavik M, Smythe T, et al. Phase I clinical trial of spirogermanium. Cancer Treat Rep 1980;64:1051-6..
  12. Trope C, Mattsson W, Gynning I, et al. Phase II study of spirogermanium in advanced ovarian malignancy. Cancer Treat Rep 1981;65:119-20..
  13. Gerber GB, Leonard A. Mutagenicity, carcinogenicity and teratogenicity of germanium compounds. Mutat Res 1997;387:141-6.. PubMed
  14. Asaka T, Nitta E, Makifuchi T, et al. Germanium intoxication with sensory ataxia. J Neurol Sci 1995;130:220-3.. PubMed
  15. Sanai T, Okuda S, Onoyama K, et al. Germanium dioxide-induced nephropathy: a new type of renal disease. Nephron. 1990;54:53-60.. PubMed
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Product directory

Supplement products with Germanium

42 products in our database contain Germanium. Open any to see its full ingredient list and every drug interaction we check.

Advanced Multiple by BodSmith Liquid 1 Quart(s) · 32 Fluid Ounce(s) · 946 mL View ingredients & interactions AloeAminos Power Nutrition by Dr. LaMar's Products Liquid 128 Fluid Ounce(s) · 3628.74 Gram(s) View ingredients & interactions Cal-Mag+ by MBi Nutraceuticals Liquid 12 Oz(s) View ingredients & interactions Creation Mineral Boost by Dr. LaMar's Products Liquid 32 Fluid Ounce · 907.18 Gram(s) View ingredients & interactions Fulvic Trace Minerals by Good State Liquid 16.2 Fluid Ounce(s) · 480 mL View ingredients & interactions Germanium by Angstrom Minerals Liquid 12 Fluid Ounce(s) View ingredients & interactions Grape Colloidal Minerals by Buried Treasure Liquid Nutrients Liquid 32 Fluid Ounce(s) · 946 mL View ingredients & interactions Immu Cell by Professional Botanicals Capsule 60 Veg. Capsule(s) View ingredients & interactions Immune Shield by Sunwarrior Powder 600 mL · 20.3 fl. Oz. · 40 Packet(s) View ingredients & interactions Immune Shield Silver + Gold by Sunwarrior Powder 15 mL View ingredients & interactions intraKID All-In-One All Natural Raspberry Flavor by Drucker Labs Liquid 33 fl. Oz. · 975.93 mL View ingredients & interactions intraMIN Organic Trace Minerals Tropical Fruit Flavor by Drucker Labs Liquid 32 fl. Oz. · 946 mL View ingredients & interactions intraMIN Organic Trace Minerals Unflavored by Drucker Labs Liquid 32 fl. Oz. · 946 mL View ingredients & interactions Ionic Fulvic Trace by Good State Liquid 16.2 fl. Oz. · 480 mL View ingredients & interactions Ionic Germanium by AM Angstrom Minerals Liquid 32 Fluid Ounce(s) · 946 mL View ingredients & interactions Liquid Light Fulvic Acid With Magnesium, Silica, Selenium & Zinc by Sunwarrior Powder 30 mL · 1 fl. Oz. View ingredients & interactions Liquid Light With Magnesium, Silica, Selenium & Zinc by Sunwarrior Powder 591.5 mL · 20 fl. Oz. · 20 Packet(s) View ingredients & interactions Multiplex Complete Wild Berry Flavor by NuMedica Liquid 32 fl. Oz. · 946 mL View ingredients & interactions Prostaze by NewtonEverett Other (e.g. Tea Bag) 120 Caplet(s) View ingredients & interactions Prostaze by NewtonEverett Other (e.g. Tea Bag) 120 Caplet(s) View ingredients & interactions Prostaze Advanced by NewtonEverett Capsule 120 Vegetarian Capsule(s) View ingredients & interactions Prostaze Advanced by NewtonEverett Other (e.g. Tea Bag) 120 Caplet(s) View ingredients & interactions RNA Spray by Complete Ascentials Liquid 1 Ounce(s) View ingredients & interactions Step 1 Ion Booster by pHion Balance Liquid 2 fl. Oz. · 60 mL View ingredients & interactions
Pharmacist Counseling Corner

Germanium: Common Questions

What is Germanium used for, and does it work?
People use Germanium for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Germanium interact with prescription medications?
We do not currently list any known drug interactions for Germanium. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Germanium interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Germanium with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Germanium interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Germanium used for?
It has been marketed for immune support, cancer, pain, and general wellness, but none of these uses are backed by reliable evidence, and Germanium supplements are considered unsafe.
Is Germanium safe to take as a supplement?
No. Germanium supplements have been linked to serious kidney damage and deaths, and major health authorities advise against taking them.
Is "organic Germanium" (Germanium-132) safer than other forms?
Not reliably. Kidney damage and other serious harms have been reported with both organic and inorganic Germanium products, so neither is considered safe.
Can I take Germanium while pregnant or breastfeeding?
No. Germanium should be avoided during pregnancy and breastfeeding because of its known toxicity and the lack of safety data.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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