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This distinction matters for safety

Rheumatoid arthritis (RA) is a systemic inflammatory disease that causes pain and disfigurement of peripheral joints

And while sterile water is clean, it lacks the bacteriostatic agent, meaning bacteria can begin to grow in your vial after the very first puncture

Some protocols add a morning dose for added daytime benefit

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Great I am finishing my first month of these injections and I have lost 4 lbs so far