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At first, I found the twisting and contorting in front of a full length mirror while fumbling with a syringe and needle was like playing the game Twister with a sharp object in a carnival funhouse

10.1016/j.ymgme.2012.07.007 2 AndresE.SerrajK

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Your friend may be on a different concentration, a different formulation (B12 versus no B12), or even a different batch

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