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Most common causes were delayed involvement of neurologist (55%), inaccurate initial medical assessment (18%), difficulties in patient-handling (difficult venous access, delirium, etc.) (8%), and secondary clinical deterioration (7%)

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These injections may fit into a broader plan that factors in nutrition, movement, hydration, sleep, and provider guidance

Joshi K

Shaking the vial Vigorous shaking creates foam and can damage the peptide structure

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