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Always keep unopened vials in a dry, dark, and cool atmosphere with no direct sunlight

Prolotherapy treatment to both the lateral and medial side of the same elbow

However, the buffering capacity becomes limited as impairment of SAT expansion causes IR [22, 23, 24] as the excess fat are deposited in the visceral adipose tissue (VAT) as well as ectopically in the skeletal muscle, liver, kidney, and heart tissues [25]