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The pH is low enough that most microbes wont be able to thrive so microbial growth isnt a big worry, especially when you wont be keeping the serum for very long

White A, Gibson S

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Early use of steroid-sparing agents in the inactivation of moderate-to-severe active thyroid eye disease: a step-down approach

West CE, Dunstan J, McCarthy S, Metcalfe J, DVaz N, Meldrum S, et al