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Sterile water is typically used for: Single-dose reconstitution where the entire vial will be used right away Diluting medications that are sensitive to preservatives Situations where a doctor or pharmacist specifically indicates preservative-free water is required, such as certain HRT formulations Because it contains nothing to inhibit bacterial growth once opened, sterile water is not designed to be stored and reused across multiple sessions

Because anaphylaxis can progress fast, many clinics give injections where trained staff and emergency treatments, including epinephrine, are available

Each vial is designed to support product and batch-level verification on arrival

There had never been the monetary incentive to push the envelope of what is legally permissible with compounding before, said Nathaniel Lacktman, a lawyer specializing in FDA-related issues