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Injectable administration requires sterile technique, proper needle disposal, and a willingness to self-administer (or have it administered)

High levels of acetaldehyde can cause amnesia, which is why someone can wake up the day after a night of heavy drinking and wonder, "What happened last night." When ethanol intake is high, alcohol dehydrogenase activity is insufficient to process the amount of acetaldehyde that accumulates, which can lead to acetaldehyde buildup in the liver

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Some are athletes recovering from a specific injury who also want to improve their skin