This whole article started with a shocking conversation I was having with a twenty year friend of mine and lifter. He was explaining about the procedure he would use to inject himself. The process of using an old/used needle to remove the solution from the bottle then applying a new “fresh” needle to his syringe was rather shocking to me. He smiled and indicated that boastfully that he had done this for over twenty years. All I could think about were the large fibrotic lesions in his glutes that prevented him from further injection in those sites.