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A practical storage routine looks like this: Refrigerate the vial promptly after reconstitution Minimize time at room temperature during each use Store away from direct light Keep the cap, stopper, and outer container clean and dry Avoid repeated freeze-thaw cycles If a study requires frequent access, aliquoting can be the cleaner option

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Some patients experience laryngopharyngeal symptoms such as a chronic cough, hoarseness, or a sensation of a lump in the throat which may be associated with reflux, though the relationship is not always straightforward and requires clinical assessment

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