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Use bacteriostatic water (0.9% benzyl alcohol) for multi-dose vials
Other growth factors such as bone morphogenetic proteins (BMPs) have received FDA approval for specific indications and may represent more appropriate therapeutic choices for conditions where approved therapies are available and indicated
What matters more is how the water goes in: aim the stream at the glass wall and let it run down the side rather than firing it onto the powder, then swirl gently until dissolved
And in the first randomized trial (STOP-Vanc, 2026) the swab alone did not cut vancomycin days without an active prompt to stop
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