Monthly InBody body composition scans Track progress beyond the scale with InBody scans, the gold standard in Bioelectrical Impedance Analysis (BIA)
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Here are the clear discard triggers: Definite discard situations: Any visible cloudiness, particles, or color change beyond what is normal for your formulation Exposure to temperatures above 95 degrees Fahrenheit for more than 4 hours Any evidence of freezing (ice crystals seen at any point) Past the beyond-use date, even by one day Dropped and cracked vial, even if the liquid looks fine Known contamination (needle touch to non-sterile surface, etc.) Probable discard situations (consult your pharmacy): Extended exposure above 86 degrees for more than 24 hours Multiple repeated room temperature excursions totaling more than the stability window Delivery that sat in extreme heat or cold for an unknown duration Sudden loss of effectiveness with no other explanation Generally safe to continue: Single overnight exposure at normal room temperature (68-77F) Brief excursions of 1-2 hours during normal use Exposure to temperatures up to 77F for less than 14 days total Short car trips (under 30 minutes) in moderate weather When in doubt, contact your compounding pharmacy
Biotransformation and elimination may also be impaired, leading to poor detoxification and recirculation of toxins that worsen symptoms
The onset of metformin-associated lactic acidosis is often subtle, accompanied only by nonspecific symptoms such as malaise, myalgias, respiratory distress, somnolence, and abdominal pain
