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ketorolac is contraindicated for use in patients with aspirin-sensitive asthma or the aspirin triad because of the approximate 5% cross-sensitivity that occurs between aspirin and NSAIDs

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One possible cause is Shoulder Injury Related to Vaccine Administration (SIRVA), which occurs when a vaccine is injected too high or too deep into the arm muscle

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Additional tests may include coeliac serology and thyroid function tests where indicated

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Increased potency and stability means less IGF-1 LR3 is needed compared to unmodified IGF-1

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