If you see cloudiness, discard the vial immediately regardless of how recently you reconstituted it
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doi:10.18632/oncotarget.11168 [2] Cangul IT, Gul NY, Topal A, Yilmaz R
Never double up or inject two doses to make up for a missed one
To minimise risk: Maintain adequate hydration as advised by your clinician (some people, such as those with heart failure or kidney disease, may need fluid restriction rather than increased intake) Be vigilant during hot weather, exercise, or illness Watch for signs of dehydration: dizziness, dry mouth, reduced urine output, dark urine, or postural lightheadedness Contact your GP promptly if you experience persistent vomiting or diarrhoea Diabetic ketoacidosis (DKA) : SGLT2 inhibitors like Jardiance carry a small risk of euglycaemic DKAa serious condition where ketones accumulate even when blood glucose levels are not markedly elevated