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Today however, the shot barely hurt but half an hour later I got a shooting pain down my arm and around my elbow, its now spread into my armpit but it doesnt really go down to my wrist its mainly upper arm and armpit but its slightly creeping into my neck and shoulder

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This does not invalidate the findings but adds a potential source of bias Single-blind only: While the investigator assessing photos was blinded, patients knew whether they received the active serum or saline, which could influence self-reported satisfaction scores No long-term follow-up: The study ended at 6 months