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Buren C, Parsons MP, Smith-Dijak A et al (2016) Impaired development of cortico-striatal synaptic connectivity in a cell culture model of Huntingtons disease

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Even if you could somehow extract the liquid (you can't safely), you would need: A sterile vial to combine the contents A separate syringe and needle rated for subcutaneous injection Proper aseptic technique to maintain sterility Knowledge of the exact concentration to calculate the combined dose The pen design is intentionally single-use to prevent exactly this kind of improvisation