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Reality : Loses significant potency within hours to days

In residency (where a doctor gains specialty training) there are only a handful of specialities, namely emergency medicine, critical care, and anesthesia, who regularly administer ketamine and let alone are comfortable in using it

Pereira RO, Wende AR, Olsen C, Soto J, Rawlings T, Zhu Y, Anderson SM, Abel ED (2013) Inducible overexpression of GLUT1 prevents mitochondrial dysfunction and attenuates structural remodeling in pressure overload but does not prevent left ventricular dysfunction

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Any of these signs mean the solution should be discarded