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Diagnostic tools may include: Ultrasound: A dynamic and cost-effective way to detect tendon thickening or partial tears MRI: The gold standard for visualizing tendon degeneration, tears, or fluid buildup in the subacromial space Diagnostic injections: Local anesthetic injections can help confirm the source of pain Early and accurate diagnosis can guide non-surgical treatment plans and prevent progression to more severe shoulder damage

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A cough may also reflect other causes, including viral infections, asthma, reflux, allergies, pneumonia, medication effects, or inflammatory respiratory conditions

Calculate the true cost of discarding partially-used vials versus the risk of reduced potency from extended storage