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While one trial did show VAX-D to be more effective than TENS, concerns about study design, limited generalizability, and safety risks have kept it from being widely accepted as a standard treatment (Aetna Clinical Policy Bulletins, 2025)
If you experience severe reactions such as an irregular heartbeat or trouble breathing, stop use immediately and consult your healthcare provider
Gurtner GC, Werner S, Barrandon Y, Longaker MT
The 12-month window between recommendation and enforceable rule is where preparation matters most supply chain and prescriber relationships take time to build and most won't start until it's too late
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