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Coloration imparted by blood can result from the pooling of RBCs in vessels (eg, hyperemia, sludging, presence of a thrombus), increased vascularity, or extravasation after an injury
A COA documents third-party testing of the medication for: Identity (confirming the medication is what the label says) Potency (confirming the concentration matches the label) Sterility (confirming no microbial contamination) Endotoxin levels (confirming safety for injection) pH and stability If your pharmacy cannot or will not provide a COA, consider whether you are comfortable using their products
Store your pre-filled pen or vial at room temperature for 30 minutes before injection to improve comfort, as cold medication can cause temporary stinging
Important nuance: Outcomes depend heavily on correct depth, settings, and treatment planning
The tradeoff is that you handle reconstitution and dosing yourself
