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The successful turning point for this dual therapy seems to be the substitution of conventional PPIs with a novel type of PPI, the potassium-competitive acid blocker, vonoprazan, that has a strong and durable inhibitory effect on acid secretion and generates a neutral environment in the stomach, suitable for H

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For musculoskeletal indications, the guideline is progressive load reintroduction starting no earlier than 6 to 8 weeks, with full training not before 3 months for significant tendon injuries regardless of how good the patient feels

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But if the imaging shows a stalled healing response chronic inflammation, tendon degeneration, no sign the tissue is repairing itself I'm going to tell you that directly, and we'll talk about which regenerative approach makes the most sense