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Metabolites of progesterone, particularly allopregnanolone, can have a calming effect on the brain and nervous system by potentiating the effects of gamma aminobutyric acid (GABA)

Eur J Pharmacol 218:339341 Xie J, Sun B, Du J et al (2011) Phosphatidylinositol 4,5-bisphosphate [PIP(2)] controls magnesium gatekeeper TRPM6 activity

An exercise bike can be used almost straight away after surgery if desired Phase 1 rehab regain motion It is normal to have a degree of stiffness in the shoulder following surgery and subsequent immobilization in a sling which needs to be overcome Physiotherapy plus home exercises will start from the 6 week point post-operatively Phase 2 rehab regain strength From 10 weeks post-operatively Physiotherapy using theraband and other resistance techniques

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