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Why are these injuries so notoriously stubborn

Treatment with RFA tends to last around 9 months on average (give or take 3 months), which could be 2-4 times longer than the SIJ steroid injection

Epithalon Peptide Characteristics Molecular Formula: CHNO CAS Number: 307297398 Synonyms: Epitalon, Epithalon, Epithalone, AEDG Molar Mass: 390.35 g/mol ( 390.34 Da) Appearance: White to off-white lyophilized powder Solubility: 50 mg/mL in water (128 mM) Soluble in DMSO up to ~250 mg/mL (496 mM) Storage Recommendations Dry, lyophilized form: Store at 20 C (preferably 80 C for long-term) In water/PBS/Saline store at 80 C up to 6 months, or 20 C up to 1 month Epithalon vs FOXO4-DRI vs Thymalin Comparison Safety and Side Effects in Studies In one 6.5-month study on C3H/He mice receiving 0.1 g Epitalon daily, no toxic effects were observed, even as tumor incidence and metastases decreased [6]

It can also be given intramuscularly (injected into the muscles)