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No, never change your anticoagulant or antiplatelet medication dosing or timing for injections

Abbreviations ALK: Anaplastic lymphoma kinase ALL: Acute lymphoblastic leukemia EGF: Epidermal growth factor ER: Estrogen receptor FAK: Focal adhesion kinase FGF: Fibroblast growth factor HGF: Hepatocyte growth factor HNSCC: Head and neck squamous carcinoma IGF: Insulin-like growth factor IGFBP: IGF-binding protein IGF-IR: Type I insulin-like growth factor receptor IGF-IIR: Type II IGF receptor InsR: Insulin receptor mAbs: Monoclonal antibodies MAPK: Mitogen-activated protein kinase PDGF: Platelet-derived growth factor PI3K: Phosphatidylinositol 3-kinase RTK: Receptor tyrosine kinase TGF: Transforming growth factor VEGF: Vascular endothelial growth factor References Bach LA

177 Through enhancement of intestinal barrier function, modulation of microbial composition, and suppression of gut-derived inflammation, SIRT1 establishes a systemic regulatory framework at the gutliver axis level

Perhaps the injection was just poorly-aimed and a nerve was pinched/poked

muciniphila would allow for diversification of the gut microbiome