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Simultaneously, the mechanical properties of the ECM change significantly: the shear stiffness of the human nucleus pulposus increases from 12.5 kPa in Pfirrmann grade 1–16.5 kPa in grade V (Walter et al., 2017), collagen fibers thicken and become disorganized (Leung et al., 2014), its aggrecan synthesis decreases while degradation increases (Wuertz et al., 2007) (Table 1)
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However, many researchers find that a small, light snack 30 to 60 minutes before injection reduces acute nausea