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For rib injuries specifically, the choice between local and systemic injection involves practical considerations
Biomedicines 9(10):1284 Ramsaransing G, Fokkema M, Teelken A, Arutjunyan A, Koch M, De Keyser J (2006) Plasma homocysteine levels in multiple sclerosis
Fatigue some people feel a low-energy day after their injection
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