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What to do when you spot a warning sign Follow this protocol: Do not inject the medication Take a photo of the vial with good lighting for documentation Note the lot number, expiration date, and pharmacy name on the label Contact your compounding pharmacy and describe what you see Ask for a replacement vial If you already injected medication that looked abnormal and experience any unusual symptoms, contact your healthcare provider You are not overreacting by calling your pharmacy about a suspicious-looking vial

Exposure to oxygen, heat, and light can degrade its active form, reducing efficacy

Chen H-JC, Lin W-P, Chiu S-D, Fan C-H (2014) Multistage mass spectrometric analysis of human hemoglobin glutathionylation: correlation with cigarette smoking