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Within those categories, the clinical picture is clearer than the internet makes it seem

These meds arent fringe anymore, theyre at Walgreens, on TikTok, and maybe in your group chat

The needle dulls after one puncture, increasing pain and tissue damage on subsequent uses

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Lyophilized (freeze-dried) powder vials are stable at room temperature for short periods but should be refrigerated (28C / 3646F) for longer storage and frozen (20C) for long-term preservation