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There is a complex and multifactorial pathophysiology involved here

This neuroprotective effect is especially relevant for disc herniations where nerve compression is the primary source of symptoms

As intermittent fasting continues, growth hormone levels increase, supporting muscle, tendon, and ligament repair

The 2024 Cureus systematic review by Jaiswal and Jawade reaches the same conclusions across more than 60 cited studies: the wound-healing cascade and the delivery enhancement are two separable mechanisms, and which one dominates depends on needle depth, needle architecture, and how the serum is introduced [1]