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If a product is listed on Amazon or a general supplement site without a prescription, the odds it works the way an injectable does are close to zero

While slowing down the drip rate can help reduce discomfort, the side effects are still common and can turn an otherwise beneficial treatment into an uncomfortable experience

Stress tolerance index The tolerance indices for diverse growth factors were calculated using protocol followed by Amin H et al

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** See the ACVIM's "Guidelines for the Diagnosis and Treatment of Canine Chronic Valvular Heart Disease", page 1144