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Many brain injury medicine physiatrists work through outpatient rehabilitation medicine clinics - you can advocate for a referral to one of these clinics

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gentle warming and extended mixing may be required Do not use organic solvents (acetonitrile, DMSO) unless specifically validated for the peptide Solution is Cloudy or Precipitated Cloudiness may indicate peptide aggregation or poor solubility Try gentle warming to 37 C and slow cooling to room temperature If precipitation persists, the peptide may be degraded or the concentration too high Consider diluting to a lower concentration or using a different buffer (e.g., PBS with 0.1% BSA) Foam Formation Foam is caused by vigorous shaking or forceful injection of water Allow foam to settle naturally (do not shake to disperse) If foam persists, briefly centrifuge the vial at low speed (e.g., 500 g for 2 minutes) To prevent foam: inject water slowly down the vial wall

Fourteen of the 16 patients (87.5%) reported significant pain relief

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