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Draw the bacteriostatic water into a syringe, invert the Melanotan-1 vial, insert the needle through the rubber stopper at a shallow angle along the vial wall (not straight down into the powder), and allow the water to drip slowly down the glass rather than hitting the powder directly

Unfortunately, based on the retrospective nature of our study and lack of consistent data relating to medication adherence or adverse effects, we are not able to report whether the above reported adverse effects played a role in shaping any of the outcomes reported here