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Chronic inflammation is different
GER is a frequent clinical manifestation of PEH because the herniation through the diaphragmatic hiatus determines a functional incompetence of the lower esophageal sphincter (LES), favoring the reflux of the gastric contents
What to do when you spot a warning sign Follow this protocol: Do not inject the medication Take a photo of the vial with good lighting for documentation Note the lot number, expiration date, and pharmacy name on the label Contact your compounding pharmacy and describe what you see Ask for a replacement vial If you already injected medication that looked abnormal and experience any unusual symptoms, contact your healthcare provider You are not overreacting by calling your pharmacy about a suspicious-looking vial
If they immediately offer a shot without asking, thats a red flag
Input the amount of Bacteriostatic Water you intend to add to the vial
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