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Ive seen faster initial responses with extensor issues compared to deeper flexor tendon problems, likely due to better local peptide concentration at the target tissue

Avoid direct heat (above 40 C), direct UV exposure, and freezing

Some medications can interfere with B12 absorption, including metformin (used for diabetes) and proton pump inhibitors (used for acid reflux)

Sitting for long hours, standing in one position, wearing ill-fitting shoes, or having poor posture can strain muscles and joints

While you can buy methylene blue online, I recommend working with a provider who is familiar with its use and can make sure its the best choice for you

Clinical Observation on 90 Cases of Primary Dysmenorrhea Treated by Buccal Acupuncture Therapy: A Randomized Controlled Study