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Many commenters recommended alternative effective dates, ranging from 60 days to 2 years beyond our proposed effective date of January 1, 2026, that they considered more reasonable

When switching from the shot to the pill, a person can start the pill within 15 weeks from their last shot

However, if resting the area, using anti-inflammatories, and trying less invasive treatments hasn't worked, surgery may be an effective way to ease your pain and restore your full range of movement

Additionally, conditions affecting the ileum, like Crohns disease or surgical removal, make oral supplements ineffective