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Interesting that the author didn't mention anything about stem cell injections. Those have been in vogue among the elite for decades (millennia?).

Yeah… and anytime the narrative switches from transfusion to blood-sucking, I object “but what about stomach acid?” Bodies break stuff down first.

How could it be millenia? Have we been able to isolate stem cells that long, or are you suggesting feasting on placenta as suitable?

The joke is presumably ancient vampires doing it in secret to be alive for millennia.