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Key Points Biceps tendinopathy will present with pain (made worse with stressing the tendon), weakness, and localised tenderness Most cases of tendinopathy will be treated conservatively with analgesia and physiotherapy Rupture of the distal biceps can be diagnosed clinically, with ultrasound imaging for confirmation and to aid potential surgical intervention Both conservative and surgical management options are possible for rupture of the distal biceps

Box 644820, Pullman, WA 99164-4820, USA e-mail: [email protected] This article was submitted to Cellular Endocrinology, a section of the journal Frontiers in Endocrinology

Cell 10 , 417426 (2002)

However, long-term safety in humans has not been established , and risks may increase with improper sourcing, excessive dosing, or chronic use

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