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Practical supports that improve long-term results Progressive loading: structured strengthening that increases capacity gradually Movement quality: correcting compensation patterns that overload tissue Adequate protein: collagen remodeling requires amino acids Sleep optimization: recovery signaling deteriorates when sleep is poor Metabolic support: insulin resistance and systemic inflammation impair healing When these elements align, the tissue receives both the biochemical support and the mechanical signal required for durable remodeling

It acts as an anti-inflammatory agent, functions as an antioxidant, stabilizes cell membranes, and induces MT [182]

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Research has revealed several pathways in which gut microbiota alterations in GD may contribute to a decreased level of central serotonin, thereby increasing the susceptibility to depression