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10.1016/j.jpsychires.2019.10.006 19 LavignaG.MasoneA.BouybayouneI.BertaniI.LucchettiJ.GobbiM.et al (2021)

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Every time you puncture the vial's rubber stopper with a syringe, you create a potential entry point for airborne bacteria

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Someone following a perfect protocol with a contaminated or underdosed product will see zero results