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AOD9604 seems to do this by boosting the production of the components needed for cartilage, notably proteoglycans and collagen

Blood 1977;49:987-1000

Thalassemia in the emergency department: special considerations for a rare disease

He furthered his academic training at the University of Bristol, where he was awarded a Distinction in MSc Translational Cardiovascular Medicine

The perceived energy boost reported by non-deficient individuals is likely attributable to placebo effect
