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This is another reason the medically supervised pathway matters

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10.1002/jor.21107 19 CesarecV.BecejacT.MisicM.DjakovicZ.OlujicD.DrmicD.et al (2013)

This can be even more problematic

These treatments help: Decrease muscle hypertonicity in the rotator cuff and deltoid regions Improve blood flow and tissue healing Down-regulate the nervous systems pain signals Patients often report noticeable pain relief and improved range of motion immediately following needling sessions

However, the 12mg maintenance dose still requires multiple draws or a 1mL+ syringe