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Check for cloudiness, particles, colour changes, or unusual consistency through the pen window, and discard the pen immediately if you notice any of these signs or if it smells unusual

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It has direct, material consequences for how diligence must be conducted, particularly for licensed IP

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doi: 10.1155/2018/9163052 23 AbrahamssonNEngstrmBESundbomMKarlssonFA

This is different from directly administering growth hormone