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This keeps tendon under tension to facilitate procedure, Identify and mark tender area of tendon, usually midpoint along the sides, Insert needle on medial side and angle parallel to tendon

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Despite promising preclinical data, clinical trials in humans are extremely limited, and the compound remains largely experimental, with ongoing research required to fully characterize pharmacokinetics, optimal dosing, long-term safety, and potential off-target effects.

The gastrointestinal effects of Mounjaroincluding nausea, reduced appetite, and delayed gastric emptyingmay theoretically affect nutritional intake and absorption, though this has not been specifically demonstrated for vitamin B12