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local anesthetic applied Injection Points: Typically include the AC joint capsule and coracoclavicular ligament attachments Solution Used: 15-25% dextrose + 1% lidocaine or procaine Guidance: Can be done freehand or under ultrasound guidance for precision Post-Injection Care Mild soreness or swelling is expected for 13 days Avoid anti-inflammatory medications (they may blunt the desired response) Gentle range of motion exercises encouraged Physical therapy may be added at any time Treatment Frequency Prolotherapy is typically performed every 34 weeks 36 sessions are usually recommended depending on severity and how you are progressing Clinical Evidence Supporting Prolotherapy for AC Joint Injury While large randomized controlled trials are limited for AC separation specifically, prolotherapy has demonstrated efficacy in multiple musculoskeletal conditions involving ligament and joint instability: Rabago et al

Always consult a licensed healthcare professional before starting any new health protocol, follow institutional and jurisdictional safety regulations, and verify the legal status of any compound in your region

You can stack MOTS-c 5-Amino-1MQ because neither compound competes for the same receptor, enzyme, or metabolic cofactor pool

The patient is the only one who can tell the severity of his symptoms by the sense of bothersomeness. For example, some men dont mind getting up in the middle of the night to go to the bathroom

Discard around 28 days after the first puncture, or sooner if it looks cloudy or has particles