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(See Figure 4 for overall approach to treatment and prevention of gout.) Treatments used for prevention, such as allopurinol (see below) can actually make things worse if given during a flare, and so need to be held back until the flare has resolved for several weeks

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Common side effects: Injection site discomfort Mild diarrhea Hot flashes Dizziness or itching Precautions: Avoid B12 injections if youre allergic to cobalt or have Lebers hereditary optic neuropathy

BPC-157 is an injectable peptide linked to tissue repair, but it has very limited human data and no FDA approval

Accumulating evidence indicates that mitochondrial reactive oxygen species (mtROS) dyshomeostasis is a central pathological driver of post-injury muscle degeneration