PNAS, 103(47), 1758917594.
This synergistic blend enhances the body's natural healing processes by improving blood flow, reducing inflammation, and accelerating repair of muscles, tendons, ligaments, and joints

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The ampoules were probably OK for a short while after expiration , but I would not use them now 4 months later
Individuals with kidney or liver health issues should take caution when using this combination
Standard intra-articular injection site preparation and precautions should be used