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However, room temperature storage must not exceed the specified temperature limits, and medications should never be exposed to direct sunlight or heat sources such as windowsills, car interiors, or near appliances

[2] Urgent medical attention is required if neurological symptoms develop, as these may indicate subacute combined degeneration of the spinal corda serious complication requiring immediate treatment

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The majority were using them for: chronic tendon disorders degenerative shoulder pathology recurring Achilles injuries lumbar pain syndromes meniscus irritation elbow tendinopathy and post-traumatic joint dysfunction