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In simpler terms, it's ultra-pure water with a small amount of preservative added to keep it sterile even after you've punctured the vial's rubber stopper multiple times
Since red blood cells are being produced at a slower rate, the old blood cells hang around and grow, leading to a condition known as macrocytic anemia (low blood cell count, but large blood cells)
"Tramadol Datasheet" (PDF)
Verify your math with the reconstitution calculator whenever you use a non-standard water volume
