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When to See a Doctor Prompt medical evaluation is warranted if one or more of the following symptoms occur after the injection treatment: Increased pain or swelling at the injection site that progressively worsens Fever, chills, and/or night sweats Uncontrolled or excessive bleeding at the injection site Persistent numbness or weakness in the neck, shoulder, arm, or upper back Headaches Swelling in the arms Before considering a rotator cuff injection, patients are advised to discuss the risks, benefits, and alternative treatments with their doctor.

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In addition, it acts as an activator of the urea cycle and has been proposed as a potential treatment for hyperammonemia secondary to organic acidemia, hepatic encephalopathy and even valproic acid associated hyperammonemia [46, 47]