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Description
Check for blood by aspirating, then slowly inject the HCG

Macrophages can eliminate apoptotic cells by efferocytosis (165, 166)

I think Sam Altman actually talked about this publicly

~ AlphaMD You changed your injection day from morning to evening and suddenly your sleep felt off, your energy dipped, and you were convinced the timing was to blame

Weakness, bleeding, increased pain ULTRASOUND-GUIDED TECHNIQUE Single shot procedures as well as catheter placements can be accomplished safely with US guidance

Front Aging Neurosci 16