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During the injection You may feel: Small pinprick Mild pressure Brief burning sensation The injection itself usually takes less than 10 seconds
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The activation promotes angiogenesis and improves blood flow to damaged, hypovascular tissues (tendons and ligaments)
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These factors include a weak or defective sphincter, transient lower esophageal sphincter (LES) relaxation (TLESR), hiatal hernia, poor acid clearance from the esophagus, impaired esophageal peristalsis, diminished salivary flow, decreased mucosal resistance to injury, increased Scleroderma and CREST syndrome Delayed gastric emptying Damaging factors Increased gastric acid production Bile and pancreatic juice Resistance factors Reduced production of saliva and bicarbonate Diminished mucosal blood flow Growth factors, protective mucus Portions of this chapter were adapted from Szarka LA, DeVault KR, Murray JA
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