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These include: Corrective shoeing Estrogen therapy Infusion of a counterirritant or blister As a last resort, medial patellar desmotomy surgery, where the ligament that gets hooked over the femur is cut I have been asked before if a supplement containing silica and collagen would be appropriate for a horse with upward fixation of the patella and my answer is: I dont know

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Intranasal Administration: Some sources mention intranasal administration as another potential route

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