Opened bac water usually follows a 28-day window unless the label states another period, and that opened-vial window never extends beyond the original expiry
Many adults remain stable on 1,000 mcg once monthly, though dose intervals can be adjusted according to serum markers
Patients who do not respond after several months of conservative treatment, or whose anatomy clearly will not improve without decompression, are candidates for the MILD procedure or surgery
We advise against use in patients with active cancer, cardiovascular disease, autoimmune disorders, liver or kidney disease, clotting issues, pregnancy or breastfeeding, or those under age 20
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