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Weekly Metrics Worth Tracking Pain at rest (NRS 0 to 10), recorded at the same time each day (morning before activity works well) Pain with the most provocative exercise movement for that injury Range of motion at the affected joint, measured with a goniometer or a reliable phone app Functional milestones: for example, single-leg heel raise repetitions for Achilles tendinopathy, or overhead press weight for shoulder pathology When to Contact Your Prescriber Contact your prescriber if pain acutely worsens after a period of improvement, if you develop swelling or heat at the injury site suggesting possible infection (particularly if you are injecting locally), or if you notice any new and unexplained neurological symptoms such as numbness, tingling, or weakness in a limb

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Low blood levels of the vitamin have been linked to several health problems

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Shaking can damage the peptide structure and reduce effectiveness

Run once daily with gradual titration across the cycle