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Pharmacologic measures include NSAIDs, local glucocorticoid injections, and experimental chondroprotective drugs (e.g., chondroitin sulfate and glucosamine)

First-time appointments take 60 minutes with clearance

patients in these groups should discuss their suitability with a clinician before participating in any trial Dietary habits high-fat or heavily spiced meals may exacerbate symptoms Diarrhoea in this context is a pharmacological side effect , not an allergic reaction or sign of serious harm in most cases

Gastrointestinal side effects may increase dehydration risk in hot weather, requiring careful fluid management