Tattoos and Telehealth

Vial Safety: The 28-Day Rule


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What you don't know about your medication vials could be putting your health at risk. In this eye-opening discussion, healthcare providers Kelli White and Nicole Baldwin tackle a critical but often overlooked aspect of medication safety that affects anyone using injectable treatments like GLP-1s, insulin, or B12.

The pair unveils the crucial distinction between the expiration date printed on your medication vial and what happens once you puncture it with a needle. Despite what many patients believe, that first puncture starts a 28-day countdown—regardless of the printed expiration date. Beyond this window, you face increasing risks of infection and decreased medication effectiveness that could seriously impact your treatment outcomes.

Through clear examples and personal clinical experiences, Kelli and Nicole explain why pharmacies and providers insist on specific dispensing practices that might seem inconvenient but are actually protecting your health. They share alarming scenarios they've witnessed firsthand when patients unknowingly used degraded medications, including dangerous blood sugar swings with insulin and painful muscle abscesses from contaminated injections. Their practical advice includes simple habits like marking your vials with puncture dates and understanding why your provider might prescribe multiple smaller vials instead of one large one.

Whether you're using semaglutide for weight management, insulin for diabetes, or other injectable medications, this conversation delivers essential knowledge that could prevent serious complications. Share this episode with friends and family members who use injectable medications—it might be the most important 13 minutes they spend on their health this week.

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Tattoos and TelehealthBy Nik and Kelli

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