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Literature reports suggest an apparent association between use of corticosteroids and left ventricular free wall rupture after a recent myocardial infarction

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The specific reasons identified include intensive insulin therapy, decreased renal function, severe liver disease, alcohol ingestion, defective counter regulatory hormone release, missing meals/fasting, and gastroparesis

Zuri Hemphill-Bryant, an Atlanta-based OB-GYN, tells Romper via email

This is because the effectiveness of benzyl alcohol as a preservative loses its potency with repeat use and exposure

This effect is useful for both people with diabetes and those at risk for it, especially those who are overweight