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Chouinard, V

Crepitus or cracking within the joint

Shi Z, Wu X, Santos Rocha C, Rolston M, Garcia-Melchor E, Huynh M, et al

[2] By preventing bacterial proliferation, bacteriostatic water remains usable for multiple injections from the same vial when handled with proper aseptic technique

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TRT protocols are commonly cited starting in the low $200s per month before labs and medication, so total annual cost is higher with monitoring