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It almost exclusively happens when documentation is missing, the medication is not in original packaging, or the quantity suggests commercial importation rather than personal use

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29 Maternal transfer of SIgA maintains mucosal homeostasis in the infant, coats commensal microorganisms, 42 neutralizes pathogens via pIgR-mediated transcytosis, 43 and maintains host-microbe mucosal immune homeostasis

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