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While theoretically closer to the injury, it doesnt offer the same direct concentration as a true local injection and lacks the simplicity of a standard abdominal subcutaneous injection

The goal would be a shallow subcutaneous injection over the point of maximum tenderness, or a very careful intramuscular injection into the shoulder or bicep muscle belly nearby never into the tendon itself

We are trying to obtain a biopsy and have a better description of this reaction, she says