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Nov 2020;129(11):1110-1119
doi: 10.1111/j.1365-4632.2004.02134.x

Each vial puncture (for drawing bacteriostatic water, for mixing, for drawing the dose) creates bacterial entry opportunity
Several figures cited in practitioner and commercial contexts, including claims of 70% shedding reduction and 80% follicle enlargement, are drawn from user-reported or industry data with no peer-reviewed replication
