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Clean the rubber stopper of the vial with an alcohol prep pad before inserting the needle

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This situation has been mimicked in more recent times when imbibers of moonshine whiskey, often made in radiators containing lead, developed a lead poisoning-associated gout (Saturnine gout)

The net effect: adipocytes become metabolically sluggish, oxidizing less fat, storing more energy, and resisting signals that would normally promote energy expenditure

Schaumburg et al., Sensory Neuropathy from Pyridoxine Abuse, N