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Studies show "increased energy and slight weight changes within the first few weeks" with more substantial changes following

More water = finer resolution

Its also worth calling out that other conditions can cause similar symptoms: Osteoarthritis

Would destroy peptides and potentially cause serious injection site infections

One cortisone shot for Tennis elbow usually suffices but, if symptoms recur, a second injection can be given followed by the above routine 10 days later

I remember when I was training and Weidman said this to me, he goes, When you're training and you get a flat, you don't get out and fix the flat