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Preclinical models consistently show that combining serotonergic neuropeptides with SSRIs or MAOIs produces unpredictable neuromodulation that exceeds the therapeutic window of either agent alone

To perform the injection or aspiration, the needle is inserted directly into the bursa

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Common reconstitution scenarios clinicians use: 50 mg vial + 2.5 ml water 20 mg/ml - 1 mg = 0.05 ml ( 5 units on a U-100 insulin syringe)

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