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Levalbuterol contains only the active R-isomer of albuterol

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The agency may act through rulemaking or another clearly identified regulatory mechanism, explain whether an interim enforcement policy applies, define the substance forms covered, or address other conditions

4.4 Systemic risk biomarkers Retinal vascular changes, such as arteriolar narrowing, venular dilation, and tortuosity, serve as biomarkers for systemic complications, including hypertension, stroke, and CKD (135)