Poor packaging, storage recommendations, or shipping practices indicate overall carelessness
In addition corticosteroids have been associated with local skin atrophy, depigmentation and muscle wasting
Some researchers also note the concentration in mcg per unit: at 10mg/mL, each unit on a U-100 syringe contains 100mcg (since 10,000mcg per 100 units = 100mcg per unit)
approximately one-third lost 20% or more
Lamers, C
Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors)