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However, clinically significant anxiety seemed to have been reduced

Contrary to the initial diagnosis of tendinitis, the primary pathological issue in chronic cases is not inflammation but a deep-seated degenerative failure of the tendon structure itself [1]

For the underlying logic of why this matters in middle age, see our overview of anti-aging in your 40s

Mechanisms underlying neuroprotection include enhanced cerebral angiogenesis supporting tissue oxygenation, anti-inflammatory effects reducing secondary injury, antioxidant activity limiting free radical damage, and modulation of neurotransmitter systems including the dopamine/glutamate/NO system