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Contraindications include active or recent cancer, uncontrolled diabetes, severe diabetic retinopathy, and pregnancy
Researchers have explored acid-labile subunit (ALS) and IGFBP-3 as complementary markers, though equine-specific reference ranges for these biomarkers are still being refined
Several different types of injections are potentially available, and serious sufferers should contact a pain specialist doctor in their area to discuss if injections are right for them
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