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Over time, these tendons can develop micro-tears, leading to chronic inflammation, weakness, and stiffness that limit daily function

This stacking behavior complicates medication reconciliation and increases uncertainty surrounding glycemic stability, fluid shifts, and inflammatory response

Pre-clinical research conducted primarily in animal models informs the hypotheses for its use, but no large randomized controlled trials in humans have confirmed efficacy for any outcome - including gut-lining support, tissue-related processes, or any other claimed mechanism

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