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For multi-dose peptide vials where you will be drawing doses over days or weeks, bacteriostatic water is the only responsible choice

Due to the complex pathology underlying these reactions, it is difficult to estimate their incidence rate

A smaller quantity may lead to frequent reorders, while a larger quantity may not be suitable if the plan is still being adjusted

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High dose oral cobalamin would be a reasonable alternative as maintenance in patients unable to tolerate intramuscular injections provided there is good compliance with treatment