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Every time a needle enters the vial septum, there's a small risk of introducing contamination

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WheltonPKCareyRMAronowWSCaseyDECollinsKJDennison HimmelfarbCet al2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APHA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the American college of cardiology/American heart association task force on clinical practice guidelines

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