OP39 safety of ustekinumab in IBD: final pooled long-term safety analysis through 5 years in CD and 4 years in UC
After opening commercial serum Once opened (seal broken): Air exposure begins Bacterial contamination possible Oxidation accelerates Shorter shelf life Track opening date Shelf life after opening: Why packaging matters: Airless pump: Minimal air contact, longest life Dropper: Some air exposure, moderate life Jar: Maximum air exposure, shortest life Finger contamination risk (jar) Best practices after opening: Refrigerate after opening (extends life) Close tightly after each use Don't contaminate (no fingers in product) Use within 6 months ideally Note opening date on bottle Signs commercial serum degraded: Color change (darkening, blue-green tint) Smell change (rancid or off odor) Texture change (separation, clumping) Reduced efficacy (no longer works) Irritation (preservatives depleted, bacteria) When to discard: Past expiration date + 3-6 months opened Any signs of degradation above Unusual smell or color Product separated and won't remix Skin irritation develops Commercial vs DIY serum stability Commercial serum advantages: Professional preservative systems pH buffered correctly Antioxidants included Tested stability (12-24 months unopened) Quality assurance DIY serum challenges: No professional preservatives (or inadequate) pH optimization difficult Limited antioxidant protection Short shelf life (1-2 weeks refrigerated) Bacterial contamination risk Comparison: When DIY acceptable: Make small batches (1-2 weeks supply) Use immediately Refrigerate always Accept short shelf life Understand contamination risk When commercial better: Want convenience Need longer shelf life Travel frequently Don't want frequent preparation Value safety/stability See DIY GHK-Cu serum recipe for home formulation
Future plans While OZiva is confident of their product, they are open to relook at the formulation should there be new concerns among consumers
Holmes GP, Kaplan JE, Gantz NM, Komaroff AL, Schonberger LB, Straus SE, et al
followed by motif 1, motif 4, motif 2, motif 7, and motif 5 with 58, 57, 55, 53 and 51 sites, respectively
A., Carney J
