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A man in his 70s presents with a nine month history of difficulty walking and climbing stairs, numbness and pain in his lower limbs, and paraesthesia in his hands

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Pull the prescribed amount of bacteriostatic water into the syringe before adding anything to the peptide vial

Under conditions of reduced oxygenation, cells with high glycolytic activity that produce significant amounts of lactate release it into the interstitium through the MCT4 transporter