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Only a low percentage of adalimumab-treated patients versus placebo had reported pain related to injection in adalimumab clinical trials [45,46,47], and only one reported dropout specifically related to injection-site pain [48] was found in our literature search

doi: 10.1016/j.psyneuen.2021.105412

Using sterile water instead of bacteriostatic water is a common error that leads to bacterial contamination and reduced shelf life

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