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When I perform a full assessment on my patients I will look at their overall symptom picture to determine if they can benefit from an injection, and also make sure to rule out any other conditions that could be causing these symptoms

Delayed injection site reactions (happening within days post injection) can also be observed and are known to be driven by additional inflammatory mechanisms, most notably the recruitment of peripheral blood immune cells at the site of injection

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The water-based texture settles quickly without heaviness

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