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Despite this promise, several critical limitations remain: No large-scale, randomized controlled human trials to confirm efficacy, safety, or long-term impact Toxicology and pharmacokinetic data are lacking, especially for chronic use or high-dose regimens Only one stereoisomer (all-L form) has been tested

It can most commonly affect the knees, hips, hands, and spine

Review monthly with a clinician to spot trends and adjust dose, timing, or lifestyle steps

Convenience is higher, but penetration and systemic effects are limited

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Warning And Precaution: Neksium 40 mg Injection can worsen the conditions like: Allergy Kidney/ Liver disease You must not take this medicine if you are pregnant, planning to conceive or breastfeeding You must not drive or operate heavy machinery at the same time as taking this medicine as it may cause dizziness You must drink sufficient amount of water with this medicine You must take adequate dietary intake of calcium & magnesium or their supplements as prescribed by your doctor as long-term use can cause weak bones & deficiency of minerals such as magnesium You must regularly get your blood tests done to monitor your blood cells, liver and kidney function, and electrolyte levels during treatment with this medicine Always consult with your medical doctor straight away to get best possible treatment if you are observing any of the above mentioned conditions