That is not always obvious at the time, which is why dose and schedule should be set against a confirmed clinical picture rather than guesswork
Follow the storage instructions provided with the product, typically storing it in a cool, dry place away from direct sunlight
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Thats why bacteriostatic water is not recommended for use in neonates or premature babies
That potentially, ingredients that could help clear out, or keep clear, the liver so that it has ROOM to do its job, would then mean it will do a better job
