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Aching with repetitive supination and pronation tasks is also common

Side effects tend to be mild and dose-dependent -- injection site reactions, temporary water retention, and mild tingling or flushing

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References Laborde E (2010) Glutathione transferases as mediators of signaling pathways involved in cell proliferation and cell death

2,4 In assessing asymptomatic or minimally symptomatic CK elevation, the test should be repeated after 7 days without exercise

Always begin with a lower dose and consult with a healthcare provider