Freezing can damage the preservative properties
Data has indicated significant use of tramadol in sports and research studies funded by WADA have confirmed the potential for tramadol to enhance physical performance, in addition to its potential to adversely affect athlete health due to its opioid properties
Chertov O, Michiel DF, Xu L, Wang JM, Tani K, Murphy WJ, Longo DL, Taub DD, Oppenheim JJ: Identification of defensin-1, defensin-2, and CAP37/azurocidin as T-cell chemoattractant proteins released from interleukin-8-stimulated neutrophils
Cobalamin and folate evaluation: measurement of methylmalonic acid and homocysteine vs vitamin B(12) and folate
But if you've been dealing with this for months or years, what you're really looking at is fasciosis tissue that's degenerated and broken down at the cellular level, with little to no active inflammation remaining