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Some patients may have both conditions at the same time

If nothing has changed, consider: Product quality issues

When to increase dose Consider increasing if: Minimal response after 4-6 weeks at current dose No side effects at current dose Current dose below the higher end of recommended range Goals not being met with conservative approach Increase gradually, typically by 25-50% at a time

Panic attacks and severe anxiety commonly cause chest pain or tightness that can be mistaken for cardiac pain

Steroids for muscle building Effectiveness: Extremely powerful

While cortisone usually works well at reducing acute inflammation, chronic tendon problems are often characterized by a lack of inflammation