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Local subcutaneous injection near the shoulder if possible, otherwise systemic Optional TB-500: 500 to 750 mcg twice weekly for systemic support Optional GHK-Cu: 200 to 400 mcg daily, added from week three onward for collagen quality Duration: Eight to twelve weeks Critical addition: Physical therapy and progressive loading

Operators should establish a data logging system to track changes in headloss, TOC removal, turbidity, and UVT over time

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Awareness helps ensure these risks are managed with the right support