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And in the first randomized trial (STOP-Vanc, 2026) the swab alone did not cut vancomycin days without an active prompt to stop

Important safety considerations include the risk of acute pancreatitis (seek urgent medical attention for severe, persistent abdominal pain), gallbladder disease, and potential worsening of diabetic retinopathy, particularly in patients with pre-existing retinopathy who experience rapid improvement in blood glucose control

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