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Researchers continue to investigate its potential effects on tendon structures, where coordinated cellular activity and matrix reorganization play critical roles

Hormonal shifts, insulin resistance, chronic stress, and muscle loss often make traditional approaches feel frustrating or ineffective

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Outcomes Demographic characteristics including age, sex, marital status, level of education, occupation, and living location, in addition to the previous history of referral to a psychiatrist, and medical history of physical disorders were recorded in the research data sheets