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These are common in CrossFit athletes, pitchers, and anyone performing high-volume or forceful shoulder movements

The rationale for combining them is based on mechanistic complementarity (non-overlapping pathways), individual safety profiles, and clinical observations from practitioners administering the combination

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Bismah Irfan, MD walks her IVitality MD patients through, plus a reconstitution chart for every common vial strength (230 mg) and answers to the questions we hear most often

Format Both theory and practical sessions are completed in clinic

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