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10 mg vial + 2 mL BAC water: Concentration = 5,000 mcg/mL (5 mg/mL) 5 mg dose = 100 units (1.0 mL) on a 100-unit insulin syringe 10 mg dose = entire vial (use two 100-unit draws or reconstitute with 1 mL for 10 mg/mL) Doses per vial: 2 doses at 5 mg, or 1 dose at 10 mg Supplies Needed (20-Day Cycle at 5 mg/day) 10 vials Epithalon (10 mg each) — provides 20 doses at 5 mg 1 vial bacteriostatic water (30 mL) 20 insulin syringes (29–31 gauge, 100-unit) Alcohol prep pads Administration Injection Technique Epithalon is administered via subcutaneous (SubQ) injection

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Prognostic criteria, such as the King’s College criteria, can be used to determine appropriate candidates for liver transplantation referral based on those with expected high mortality of over 80%[36,91]