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Step 4: Performing the Injection Pinch the skin at your chosen injection site between your thumb and index finger, creating a fold of tissue approximately 1 to 2 inches wide

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Room temperature vs refrigerated after puncture: USP guidance describes the 28-day window under controlled room temperature conditions

In addition, the Secretary may conduct surveys, other data collection activities, studies, or other analyses, as the Secretary determines to be appropriate, to facilitate the review and appropriate adjustment of potentially misvalued services