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Documented risks include severe skin reactions (including StevensJohnson syndrome), possible kidney and thyroid effects, and infection or embolism from unregulated injection

Subtle improvements in sleep quality Reduced morning stiffness Slightly improved activity tolerance Possible temporary sensitivity at injury sites Gradual reduction in baseline discomfort Progressive Phase (Weeks 4 to 8) The middle phase of treatment typically brings more noticeable improvements

Vitamin E: Protects cell membranes from oxidative damage

Carter, PharmD, is a clinical pharmacist and freelance health writer who currently works in a managed care setting, performing quality audits on utilization management

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