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They occur with virtually any subcutaneous peptide injection

Symptoms may include: intense shoulder pain joint pain decreased arm mobility, including range of motion in the shoulder rotator cuff tendonitis bursitis arthralgia frozen shoulder weakness or altered sensation in the arm shoulder stiffness SIRVA can result in chronic or sometimes permanent injury to the arm and shoulder

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Any use of this injection would be reserved for patients where the benefits outweigh the risksand always under careful medical supervision