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If not enough improvement after 3-4 weeks, add TB-500

Potential Cost Savings Research demonstrates that viscosupplementation generates significant long-term savings [8]: Individual savings : Delaying surgery by one to two years translates into hundreds to thousands of dollars in avoided out-of-pocket costs, lost wages, and recovery expenses Healthcare system impact : At a population level, modest surgical delays across millions of patients could represent billions of dollars in savings Medication cost reduction : Decreased reliance on NSAIDs, corticosteroids, and opioid medications lowers ongoing medication expenses Why Delaying Surgery Matters Even if knee replacement eventually becomes necessary, postponing it offers advantages: Younger implant age : Prosthetic knees have limited lifespans (15-20 years)

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however, practitioners may obtain written consent if they wish

discussion 1641-2, 2003