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Injection into sensitive or low-fat tissue: Areas such as the abdomen, inner thigh, or other sites with minimal subcutaneous fat have less tissue cushioning and a higher density of sensory nerve endings, making pH-related discomfort more noticeable

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True recovery requires a multi-system approach that includes aggressive rest, meticulous symptom tracking, pacing to avoid post-exertional malaise, and targeted medical care to address co-occurring conditions like POTS and MCAS

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