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Keep that symptom journal we talked about

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Cold vial + warm air = condensation of moisture inside

Tap the syringe lightly with your finger to remove any air bubbles.Push the air out of the syringe by pushing the plunger all the way down

Too much or too little of certain hormones, especially cortisol and thyroid hormones, can change the excitability of your nerves (and therefore, your muscles)