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In the second step, CAT and GPX1 convert hydrogen peroxide into oxygen and water

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minimal downtime Post-Injection Guidelines Mild soreness is common for 24–48 hours Avoid NSAIDs (they may inhibit the desired inflammatory response) Light activity is permitted within a few days Rehab exercises can continue throughout prolotherapy treatments Evidence Supporting Prolotherapy in Shoulder Instability While large randomized controlled trials specifically for shoulder instability are limited, several studies and clinical observations support prolotherapy's benefits: Hauser et al