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However, each vial must also be discarded after 28 days of use or four punctures, whichever comes first

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Moisture absorption during storage accelerates degradation even before reconstitution

ongoing monitoring is still needed Bariatric surgery may be considered for severe obesity Medications First-line medication Reduces CSF production Start low, increase gradually Side effects: tingling, carbonated drinks taste flat, kidney stones Alternative or addition to acetazolamide May help with headache Can cause weight loss (advantage in IIH) Side effects: cognitive slowing, tingling Furosemide Sometimes added to acetazolamide Monitor potassium GLP-1 Receptor Agonists (Emerging Treatment) GLP-1 medications (such as semaglutide, sold as Ozempic or Wegovy) are showing significant promise for IIH