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Using simple sterile water would mean the vial is only safe for a single use, as any introduction of a needle carries the risk of contamination that can then proliferate in the solution

doi: 10.1111/acel.12706

In the presence of catechol, benzoquinone is formed (see reaction below)

10.1016/S0015-0282(98)00208-8 88 MaruoT.OharaN.MatsuoH.XuQ.ChenW.Sitruk-WareR.et al (2007)

The specialized combination of vitamins, minerals, and nutrients that make up lipotropic injections work to boost a number of different natural processes and functions that ultimately can help a patient to more efficiently and reliably lose and maintain their weight

The 4 mg/mL concentration (2.5 mL water) is less common but appears in some compounding pharmacy protocols