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Repeated needlesticks can break up scar tissue and cause bleeding in a tendon, prompting the inflammatory cascade and helping the bodys own cells to begin rebuilding the tendon. Note the references in this quote to causing bleeding and prompting the inflammatory cascade in the tendon

[6] In all cases, a healthcare provider should evaluate patient history for any contraindication before initiating therapy

The committee could vote to permit compounding under strict guidelines, or they could ban it entirely

If you use a consistent protocol that suddenly stops working, consider whether your new batch may be underdosed rather than assuming tolerance has developed

Both require a fresh clinical evaluation