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Vomiting blood, whether bright red or resembling coffee grounds, could indicate a Mallory-Weiss tear, gastric ulcer, or esophageal injury from forceful retching

10.1021/acs.jproteome.5b00144 34

If you live in an area where arsenic is common in the water, be sure to have your water tested

For example, a patient may be allergic to an ingredient in an approved formulation of medication, so the compounding pharmacy could create a version without the allergen

Sources Garvey WT, et al