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Take the cap off the needle: The cap ensures that the needle is sterile until someone needs to use it

The therapy includes ongoing patient monitoring and peptide dosage adjustments as needed

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These include: Corrective shoeing Estrogen therapy Infusion of a counterirritant or blister As a last resort, medial patellar desmotomy surgery, where the ligament that gets hooked over the femur is cut I have been asked before if a supplement containing silica and collagen would be appropriate for a horse with upward fixation of the patella and my answer is: I dont know