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P-21 ships as a 5 mg lyophilized (freeze-dried) vial, so anyone following the subcutaneous route community sources describe has to reconstitute it with bacteriostatic water first the same mechanical step as any injectable peptide

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However, the study had no control group, lacked standardized pain metrics, and relied on subjective patient reports via phone follow-up

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It was a huge fight, said one former FDA official who has spent more than 30 years working on compounding policies