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[9] A related cause is reduced stomach acid production with age or from long-term use of proton-pump inhibitors, [10] H 2 blockers, or other antacids, [11] and interaction with metformin

This would include pregnant and breastfeeding subjects, those with chronic conditions, and those taking medications that can interact with 5-amino-1MQ

I'd be inclined to think it was mainly nerves - doctors are frequently quite bad at giving injections or doing any blood work and cause more pain as a result than nurses who are doing it more frequently

Regenpeptides supplies pharmaceutical-grade bacteriostatic water for injection specifically for peptide research reconstitution