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This is not an issue with an injection (since IM/IV bypasses the gut), but if a patient is also taking oral supplements, they should separate them from tetracycline dosing
Typically follow up injections would be advised at either 8, 10 or more commonly 12 weeks
And yes, you are right
Observe for rare allergic reactions and ensure follow-up labs
Ocean water is normally slightly basic, with a surface-water pH of about 8.2, but that has declined in recent years to about 8.1
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