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An injection skips all three steps
Manufacturers recommend refrigeration immediately after first puncture
(PubMed) Yokoyama T, Date C, Kokubo Y, Yoshiike N, Matsumura Y, Tanaka H
Informal reports mention sleep trouble, warmth, a faster resting heart rate, stomach upset, and injection-site stinging
Robert Ashley, MD, is an internist and assistant professor of medicine at the University of California, Los Angeles
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