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Unopened Vials of BAC Water An unopened, factory-sealed vial of BAC water is in a sterile, stable state
This is more comfortable, creates smaller injection site bumps, and reduces the amount of preservative injected per dose
Increasingly, clinicians are asking whether continuing these therapies before surgery could raise aspiration risk
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Protocol modifications: Start lower doses (BPC-157 200mcg vs 500mcg, GHK-Cu 1mg vs 3mg) with slower titration, simplify regimens (once daily vs multiple doses), prioritize evidence-based options (Cerebrolysin for glaucoma over speculative peptides), involve family members in administration and monitoring, focus on most impactful intervention if resources limited
