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UK clinical practice, guided by the Specialist Pharmacy Service, generally discourages routine multi-dose vial use, and any diluent should be sourced from a reputable pharmaceutical-grade supplier

There is specific lab testing that can be done, but this is only available at certain academic centers and certainly not at every institution

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It would be of interest to map the dose-dependent effects of glucocorticoids on markers of mitochondrial function along with depression-like behavior to further confirm these relationships