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Kekic offers a framing for this from her clinical practice

Avoid injecting into the same spot within at least 2 inches of a previous injection site
Gradually increase load, speed, and repetitions toward pre-injury levels

For use as a supplemental source of Vitamins and Amino Acids in horses
Journal of Internal Medicine

These animals were also subjected to the same environmental conditions and treatment protocols for a chronic 28-day administration study [2]
