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After finding a specific trigger point, an APEX doctor cleanses the injection site, gently pulls your skin taut, and injects an anesthetic mixture directly into the trigger point, causing it to relax immediately

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Given that ovarian hormones dynamically interact with core metabolic pathways as well as with neuroendocrine, immune, microbial, and behavioral systems, a mechanistic, multi-system perspective is required to understand how nutrient metabolism is regulated across the menstrual cycle, as detailed in the following section

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Why not just use sterile water

But the studies included were small and only lasted about 3 to 4 months