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Injection : A small, quick injection is given in the muscle, typically in the upper arm or thigh

Classic symptoms include tremor, sweating, palpitations, anxiety, and confusion

Similar prophylactic results were obtained with 5-aminosalicylic acid treatments when conjugated to bile acids or aryl aldehydes in order to prevent the absorption of 5-aminosalicylic acid in the small intestine, allowing it to be released in the caecum/large intestine, improving its pharmacological profile (Goto et al

Spironolactone's prescribing information (Pfizer, 2022 label revision) does not list ALA as a specific interaction, but it does caution that "agents that affect glucose metabolism" should be used carefully alongside spironolactone in patients with diabetes