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10.1002/art.10626 Arthritis Rheum

J Transl Med 14(1):197

Key dangers include: Overdose or underdose: Errors in calculation can result in receiving far more or far less than the intended amount, leading to severe adverse effects or no therapeutic benefit Microbial contamination: Without pharmaceutical-grade manufacturing conditions, vials may be contaminated with bacteria or fungi, risking serious infection including sepsis Chemical degradation: Improper storage, incorrect diluent, or excessive agitation can degrade the peptide, producing unknown breakdown products Injection site complications: Subcutaneous injections performed without training can cause lipodystrophy, abscess formation, or nerve injury There is also a psychological dimension to consider

Duration and Requirements: The complete circuit (citadel + hike to Intipunku) can take between 3 to 4 hours, depending on the visitors pace