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What changes across the cycle is how your body responds, not how often you inject

Steroid injections can take 3-5 days to take effect, but some patients are later responders, and it can take up to 2 weeks

Some patients on NHS maintenance feel symptoms return before the next dose, which is a conversation for your GP, not a reason to add private top-ups unannounced

This is the same mechanism that supports tissue repair, but it is a meaningful contraindication for anyone with active or recent malignancy

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