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For a 5mg vial where you might draw 10-20 individual doses, using sterile water would waste the vast majority of your peptide

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After reconstitution: Keep refrigerated and avoid freezing the mixed solution

These pharmacies operate under stringent state and federal regulations including state board of pharmacy oversight, adherence to USP (United States Pharmacopeia) standards for sterility and quality, regular inspections and compliance requirements, and documentation of every ingredient source and formulation