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Can J Anesth/J Can Anesth 64 , 673674 (2017)

The injection pen guide discusses alternative delivery methods that can reduce contamination risk, and the injections guide covers proper aseptic technique for syringe users

A 2025 orthopaedic sports medicine systematic review describes increasing use despite lack of FDA approval and bans in sport, and emphasizes that the evidence base is dominated by preclinical studies with limited high-quality human data

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