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Therefore, in patients with significantly impaired renal function or in infants, the therapy should be used only if clearly indicated and with careful monitoring
Sterile Water for Injection USP is a prescription pharmaceutical product intended exclusively for use by or under the supervision of a licensed healthcare professional, pharmacist, or authorised medical provider
Rheumatology international, 44(4), 737741
Its shipped in powdered form in vials, meaning it needs to be properly reconstituted with bacteriostatic water (which can be purchased on Amazon or from a peptide supplier without a prescription), kept sterile and refrigerated, and ultimately injected with a 1-cc syringe (with the same kind of tiny needle that folks taking insulin use)
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