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In phase 2, 50 patients (31 cutaneous and 19 systemic reactions) were treated prospectively with the use of these guidelines

Some bacteria may also produce LDH

gentle warming and extended mixing may be required Do not use organic solvents (acetonitrile, DMSO) unless specifically validated for the peptide Solution is Cloudy or Precipitated Cloudiness may indicate peptide aggregation or poor solubility Try gentle warming to 37 C and slow cooling to room temperature If precipitation persists, the peptide may be degraded or the concentration too high Consider diluting to a lower concentration or using a different buffer (e.g., PBS with 0.1% BSA) Foam Formation Foam is caused by vigorous shaking or forceful injection of water Allow foam to settle naturally (do not shake to disperse) If foam persists, briefly centrifuge the vial at low speed (e.g., 500 g for 2 minutes) To prevent foam: inject water slowly down the vial wall

The HMR Committee then makes its recommendations to WADAs ExCo, which approves the List during its September meeting