Why it is strongly recommended to use a gradient method when analysing drugs in fed state biorelevant media

Even when sample dilution is performed, a gradient is typically recommended to avoid significant changes that can occur in system properties after multiple sample injections.  

If a gradient is omitted, a decrease in retention time can occur after multiple injections. A typical example is shown below from the 1st (left) to the 32nd (right) injection using just isocratic elution with a mobile phase containing 50:50 buffer: methanol WITHOUT introducing a gradient.

Introducing a step-gradient helps to elute components of biorelevant fed state media from the column along with a short re-equilibration readies the column before the next injection. A typical gradient including step-gradient that can be used is provided in the Figure and Table below.