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It is commonly used by IV drug users to talk about the insulin syringe required to inject the drug into their vein. By using this phrase a person who partakes in this method of consumption can refer to it openly and discretely. Because most people do do not know or associate that phrase with IV using unless they do it as well. The name is a description of a new syringe, which has an orange end cap over the plunger and another one which covers the point end. AKA the man in the orange hat.
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