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In my experience needing to do this once or twice the mutation you want removed is NEVER the first one and you will lose many you want to keep before the bad one gets removed.
This is why it is best to take mutation serums only as this will give you the specific mutation you want instead of allowing yourself to get radiated and getting a random one you do not want like this.
One of my characters has twisted muscles as well and the gun penalty is not ideal but with class freak rank 3 it becomes only -12% which is noticeable but not a huge deal imo.
b) find a player like me that sells all serums for less than 500 caps. or learn the recepies yourself
c) caps should not be an issue for anybody you can make 1400 per day alone in selling stuff to vendors
Don't know what level you are...
But you need some perk cards.
After you get your mutations.
Before you loose them or git what you hate.
{maxed, Starched Genes, Class Freak}
I'll give you the serums you want.
You need to get ready for them.
Call me-86753000099999-i got it i got it-hahahaha
small joke...
If you can't find players with the new mutations you want? Then go to the Encalve bunker they sell them all, sometimes you need to server hop to get what you want.