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This is significant, but not as immediate as an IV
Hydrochloric acid and/or sodium hydroxide may have been added during manufacture to adjust the pH (range 4.5 to 7.0)

Carneiro CS, de Queiroz GF, Pinto AC, Dagli ML, Matera JM (2019): Feline injection site sarcoma: immunohistochemical characteristics

Anti-Parkinsonism medications: Neurobion Forte RF Injection may reduce the effectiveness of levodopa, a medication for Parkinson's disease
"The TGA is actively monitoring this issue from both safety and law enforcement perspectives," it said
