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10.1016/s0014-2999(99)00486-0 [DOI] [PubMed] [Google Scholar] Kachlik D., Baca V., Stingl J

A prescription or Letter of Medical Necessity may be required
Instead, gently swirl the vial between your fingers or roll it in your palms

Some peptides can degrade during the freeze-drying process

WADA has determined that these routes of administration result in a significant level of glucocorticoids circulating in the blood, which has the potential to result in performance enhancement or cause harm to health

However, this should never come at the price of causing harm to patients
