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Essential elements include HPLC (High Performance Liquid Chromatography) purity testing showing 98% or higher purity, mass spectrometry confirming correct molecular identity, and endotoxin testing ensuring bacterial contamination remains within safe limits

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It is required for integrity of myelin, neuronal function, proper red blood cell formation and DNA synthesis

Some patients may use it for 6-12 months to achieve a new, stable baseline of immune function, while many others choose to stay on a maintenance dose long-term to keep the autoimmune process in remission

If your pain, swelling, or instability worsens, or if your knee begins to lock or catch, you should see an orthopedic surgeon to discuss your options