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The skin is cleaned with an antiseptic wipe at the injection site, usually the upper outer arm, and the intramuscular injection is given with a fine needle in around ten seconds

Patients with active scalp infections, certain autoimmune conditions, active malignancy, pregnancy, or unrealistic expectations are typically not candidates and are screened at the consultation

Without being under the influence, they may be intimidated by physical sensations they havent felt for some time and be guarded about making any moves that could potentially cause pain

Its diagnosed after 12 months without a menstrual period and typically occurs in women in their 40s or 50s