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If conservative measures are found to be ineffective, surgery will be recommended and can include: Neurectomy: The compressed part of the nerve is removed surgically

R2 R3 hexanoyl Tyr He pb heptanoyl Tyr He Pb pentanoyl Tyr He pb butanoyl Tyr He pb propanoyl Tyr He pb acetanoyl Tyr He pb benzoyl Tyr He pb hexanoyl Tyr lie tyrosine and isoleucine at R2 and R 3 , respectively a wide range of amino acid and other residues might be used for the mimetics or agonists (Family 1 and Families 2- 5, respectively) in the practice of embodiments of the invention at these other positions including, without limitation, tyrosine, cysteine, methionine, phenylalaine, aspartic acid, glutamic acid, histidine, tryptophan, lysine, leucine, valine, homocysteine, homoserine, and homophenyalanine

"Photobiomodulation: the mechanism of action." BME Frontiers , 2016, 1-15

Your dose is 250mcg twice daily