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When this happens: Pharmacy compounds without bacteriostatic water User mistakenly uses sterile water instead Specific medical reason to avoid benzyl alcohol preservative Recommendation: Only use sterile water if consuming entire vial within 3-5 days

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Translating the signal into proportionate action Persistent, unexplained elevation can justify further evaluation or a search for occult disease when the history, examination, CBC, liver tests, renal function, or other findings support it

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