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Carpal tunnel surgery may be considered when: Nerve conduction studies confirm wrist compression Conservative care has failed Severe muscle atrophy develops Cervical surgery may be considered when: Progressive neurological deficits occur Significant spinal cord compression exists Conservative treatment fails However, surgery is not automatically the first step in either condition

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It is studied in laboratory research for its role in fat oxidation, lipolysis, adipose tissue metabolism, lipogenesis inhibition, and cartilage repair pathway biology without the IGF-1 stimulation, insulin resistance, or receptor-mediated proliferative effects associated with full-length hGH

Madzarac G et al

While preliminary studies suggest Dihexa is generally safe with minimal adverse reactions, it's important to note that long-term clinical data is limited