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Thats unusual, concerning and sufficient reason not to use the product, but it doesnt yet prove that the vial contains fentanyl

A miscalculated dose is a wasted dose, or worse, an unintended dose that produces side effects without therapeutic benefit

That rationale must be backed by non-clinical data confirming the compound behaves as expected and by a thorough safety and toxicology program that identifies potential risks and establishes a safe starting dose for the first human administration and the maximum human exposure that should not be surpassed

This can be treated with hormonal therapy, which requires a doctors prescription and careful monitoring