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If a vial arrives warm from shipping, refrigerate it immediately

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Probably also some damage or some crushing to some ligament tissue and some tendon tissue, maybe even to some musculature

Muscle, tendon, and ligament repair: Accelerated healing of tendon and ligament injuries, improved muscle regeneration, and enhanced biomechanical strength, with higher local levels of growth factors such as VEGF, bFGF, and EGF in healing tissues

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