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13-16 weeks : After assessment, your doctor will escalate the dosage to 8 mg once weekly for the next 4 weeks 17-21 weeks : If your body tolerates 8 mg for 4 weeks, your doctor will increase the dose to 12 mg once weekly onwards

If simple measures do not provide relief within two to three weeks, further medical review is appropriate to exclude other causes and consider alternative supplementation routes

Handwerker et al

Anatomical Considerations The medial elbow presents unique challenges for injection due to the proximity of the ulnar nerve, which runs through a groove behind the medial epicondyle

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