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Conventional treatments, such as Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), often fail because they target inflammation, which is largely absent in chronic tendinosis

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Footnotes Received July 26, 2023 Accepted October 18, 2023 Correspondence Disclosures PMM has received honoraria from Roche, Takeda, and Werfen for lectures at educational symposia

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It works best for individuals who already control their diet, exercise consistently, and want a marginal additional push in fat mobilization without gastrointestinal side effects or hormonal disruption