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If you see floaters, flakes, or any solid particles in the vial or pen, the medication has likely broken down or precipitated. This makes the medication unsafe for injection

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Allow the pen to reach room temperature before injecting, rotate injection sites systematically among recommended areas, ensure proper injection technique, and apply fragrance-free moisturizer regularly

Jennifer Adams, psychologist specializing in male reproductive health: Men often feel they should tough out health concerns, especially those affecting their genitals