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State Topical formulation Storage Per product label Notes Compounded topicals follow the compounder's beyond-use date
Patients with pernicious anemia have about three times the incidence of carcinoma of the stomach as the general population, so appropriate tests for this condition should be carried out when indicated
Solutions: Swirl gently (don't shake vigorously) Let sit 5-10 minutes Roll between palms gently If still won't dissolve, may be old or degraded (contact vendor) Prevention: Add water slowly down side of vial Use room temperature bacteriostatic water Don't inject directly onto powder pellet Injection site reactions Problem: Redness, swelling, or bump at injection site
Do not use normal saline, as salt can dissociate copper from the peptide
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