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Surgery is generally reserved for cases with progressive neurological deficits, cauda equina syndrome (a surgical emergency), or persistent symptoms despite 6 to 12 months of conservative treatment
The best absorption typically occurs when tablets are taken on an empty stomach, approximately 30-60 minutes before meals or 2-3 hours after eating
In other words, topical use of a growth factor or peptide is just as prohibited as injectable or oral forms
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