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An injection at the surgery is a different situation to that of injecting personal contents of expired ampoule

doi: 10.3390/nu13072214

But they said that other components of immune protection, including vaccine-elicited T cells, are not as affected by Omicrons mutations, and that the companies believe that vaccinated individuals may still be protected against severe forms of the disease. Pfizer and other vaccine manufacturers are starting to develop Omicron-specific vaccines should they be needed

For reconstitution and storage, the co-lyophilized blend should be treated with the same care as TB-500 (the more fragile component)

References: Katoulis et al