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There are a few reasons for this: More complex manufacturing process The acetylation step requires specialized equipment and quality control

Month 1 (Initiation): Amount: 0.5 ml vial Dosage: 0.25 mg (10 units) per week

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Oganesyan V, Damschroder MM, Cook KE, Li Q, Gao C, Wu H, et al

This includes confirming that their facilities are designed for sterile preparations, that their staff is properly trained, and that they perform necessary testing on their compounded products