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The primary risk is rubber particulate introduction from forcing a thin 29-31 gauge needle through a thick rubber stopper, which creates microscopic coring (rubber fragments sheared into the vial)

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Molina Healthcares commercial payment policy, which cites both A58777 and A56681, applies its own aggregation: no more than 4 sessions per spinal region in a rolling 12-month period across 62321, 62323, 64479, 64480, 64483, and 64484

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There is a randomized controlled phase 2 study with the objective to explore the use of TZP as a treatment for MAFLD, providing strong evidence [NCT04166773]