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Storage and handling Before reconstitution (powder) Storage : Refrigerate at 2-8C (36-46F) Shelf life : 2-3 years when properly stored Stability : Very stable as lyophilized powder Travel : Can survive room temperature for short periods (days) After reconstitution (liquid) Storage : Refrigerate immediately at 2-8C Shelf life : 28 days with bacteriostatic water Stability : Degrades over time, use within 28 days Travel : Keep cold (use cooler with ice packs) Light : Protect from direct light (store in box) Handling tips Always use clean technique Don't contaminate vial top Use new needle each time Don't freeze Don't shake vigorously Mark reconstitution date on vial Common mistakes with 5mg vials Using wrong water Mistake : Using sterile water instead of bacteriostatic water

Temporary Pause Indicators Consider 3 to 7 day break if: Side effects are bothersome but not severe Injection sites need recovery time Experiencing minor allergic symptoms (localized rash) Developing tolerance (diminishing effects) Scheduled medical procedures or tests approaching Starting new medications with potential interactions Acute illness or infection (immune system already stressed) Temporary pauses allow symptom resolution and informed decisions about protocol modifications

Even more corticosteroids may affect the nitroblue tetrazolium test for bacterial infection and produce false-negative results

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They also can affect hormone regulation, immune function, skin health and even wound healing

Some research has shown that some medications can retain their potency well beyond their labeled expiration dates