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When this happens: Pharmacy compounds without bacteriostatic water User mistakenly uses sterile water instead Specific medical reason to avoid benzyl alcohol preservative Recommendation: Only use sterile water if consuming entire vial within 3-5 days

As with seropositive AIH especially in the scenario of non-response to standard immunosuppression, it is crucial to exclude other potential causes, such as viral hepatitis, genetic/metabolic disorders like Wilson disease, multidrug resistance protein-3 (MDR3) deficiency, etc., and drug-induced liver injury