It does need to be reconstituted with BW or Sterile NaCl and refrigerated..I used it very successfully to treat my tendonitis in my right elbow and forearm. Over 8 weeks I took between 2.5 mg and 5 mg a week (once a week subq) and together with some lighter workouts and rest, my tendonitis has all but disappeared. Great product in my opinion.
from what ive seen there are decent results. yes, re con with BAC water or BAC sodium chrolide. keep in fridge. keep non re conned vials in fridge also.