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Yes corticosteroids, certain antipsychotics (such as olanzapine and clozapine), and hormonal therapies can raise blood glucose and insulin levels, affecting both results

MagnoMSMoschowitsEMorthenMKBeiningMWJansoniusNMHammondCJet al

10.1016/j.pupt.2023.102283 Pulm Pharmacol Ther

Without bacteriostatic preservative, there is nothing preventing microbial growth if any contamination occurred during reconstitution

Mt Sinai J Med 55: 1120

Furthermore, the detection of fungi by culture methods depends on growth conditions and may miss uncultivable or fastidious species, while metagenomic sequencing may underrepresent fungi due to their low abundance relative to bacteria