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Well, 2 things come to mind:

1. There was a thread where Dr. Saya said it definitely needs to be mixed well before injection otherwise you wont get the proper ratio of the meds that are in it.

2. Another thread, or the same one I dont remember, Nelson said the liquid isnt as potent as when you receive the powder and mix with bacteriostatic water yourself.

Im not the expert, just pointing out some information in case it helps you.