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Lee Rosebush is chair of the Outsourcing Facilities Association, which represents large-scale compounding pharmacies

[58] It lacks rigorous clinical trials for this indication, but there is clinical experience with its off-label use as a prokinetic in several gastrointestinal motility disorders

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This happens when needles are dull (from reuse), when the needle is too large gauge, or when the needle enters the stopper at a sharp angle

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