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It's cold enough to suppress microbial growth and preserve chemical stability but safely above the freezing point of water

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Its therapeutic effects in this setting include: acute anaphylactic reactions beta-2 mediated bronchodilation beta-2 mediated decrease in release of inflammatory mediators by mast cells & basophils (Peachell 2006) alpha-1 & alpha-2 mediated vasoconstriction & resulting decrease of mucosal edema in the upper airway increased blood pressure (to counteract histamine-induced hypotension) e.g

The powder is stable