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Why it fails for multi-dose peptide vials: Once the seal is punctured, there's no preservative inhibiting bacterial growth
To switch to a smaller needle once you've drawn up your dose, remove the needle from the bottle and hold it point-up in front of you
The destruction of parietal cells removes the source of both gastric acid and intrinsic factor, resulting in both gastric achlorhydria and pernicious anemia, respectively
At 200 mcg per dose, that is only 10 doses per vial
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