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Athletes should remove the containers from their packaging

Longer transport or warm climates: Use an insulated cooler with ice packs

Treatment Protocol Initial Evaluation Before beginning prolotherapy, a thorough evaluation is necessary to: Confirm the diagnosis of instability Identify affected structures Rule out complete tears requiring surgery Use imaging (ultrasound or MRI) as needed Injection Sessions Injections are administered every 3 to 4 weeks A typical course involves 3 to 6 treatments , depending on severity Each session may involve 4 to 8 injections around the shoulder Performed with local anesthetic

Do not mix the two peptides in the same vial or syringe