doi: 10.1016/S0140-6736(13)60591-7 5 Diagnosis and classification of diabetes mellitus
Compounded medications are not subject to the same high standards as FDA-approved prescription medications and over-the-counter (OTC) drugs

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It does not constitute guidance on human or animal use and should not be interpreted as such
The best way to mix is to slowly roll the vial between your palms or give it a few light, lazy swirls