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Scenario 4: Elderly patient on multiple medications including metformin A 68-year-old with type 2 diabetes takes metformin, a proton pump inhibitor for reflux, and is starting semaglutide for additional glucose control and weight loss

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Bacteriostatic water has two shelf-life windows: an unopened expiration date set by the manufacturer (typically 18-24 months from manufacturing), and a 28-day multi-dose window that starts the moment the seal is first punctured