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The beyond-use date assigned to your specific vial depends on the compounding category, the sterility testing performed, and the stability data available for that particular formulation

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however, subsequent doses will be titrated to maintain serum -hydroxybutyrate levels between 1.5 and 2.5 mM, with protocolized monitoring of vital signs, serum pH, glucose levels, and adverse gastrointestinal effects [111]

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Unfortunately, the issue goes far beyond just the IV route