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it is most commonly contracted by dental workers and medical workers exposed to oral secretions
In all cases, medical supervision is an essential component of treatment
For volumes below 0.1mL (100 units), use 0.3mL or 0.5mL insulin syringes rather than 1mL syringessmaller barrel syringes have finer graduation marks and lower dead space, improving measurement precision at small volumes
GHRH analogs like sermorelin or CJC-1295 with Ipamorelin require more careful consideration but are not strictly contraindicated
Infrequent hospitalizations have occurred
Tabatabaei et al
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