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Dosing accuracy matters , and doubling up is far more dangerous than an intramuscular injection

You S, Hoskin R, Komarnytsky S, Moncada M

doi: 10.21037/tgh.2016.05.06 79 XuRHZhangYPanHFengJZhangTLiuTet al

There may also be no symptoms of a meniscus tear after the initial injury
