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Significance Thiopental general anaesthesia is simultaneously manipulated in both ways with NO system activity modulation, l-NAME (prolongation) and BPC 157 (shortening/counteraction) and l-arginine (interference with l-NAME and BPC 157)

Case presentation Patient background: Age/gender: 33-year-old woman Symptoms: Right medial elbow pain persisting for one year following a minor trauma Previous treatment: Physical therapy and NSAIDs, with no significant improvement The patient reported ongoing pain in the medial aspect of her right elbow, which significantly affected her daily activities