Rats were weighed and injected intraperitoneally with 2% (w/v) pentobarbital (40 mg/kg). As described in the previous study,42 (link) the experimental level rat tail disc (Co7/8) was located by digital palpation on the coccygeal vertebrae and confirmed by counting the vertebrae from the sacral region in a trial radiograph. Needles (27G) were used to puncture the whole layer of annulus fibrosus though the tail skin. To make sure that the needle is not punctured too deep, the length of the needle was decided according to the annulus fibrosus and the nucleus pulposus dimensions, which were measured in the preliminary experiment and found to be about 4 mm. All the needles were kept in the disc for 1 min. Metformin was diluted with normal saline, to achieve a final metformin concentration of 20 mg/ml. After surgery, the metformin solution was immediately injected intraperitoneally to deliver a dose of 50 mg/kg/day until the rats were killed. Daily monitoring of the rats was carried out to ensure their well-being, and all animals were allowed free unrestricted weight bearing and activity.
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