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Thus, lactate is increasingly recognized as a critical metabolic substrate that intersects with diverse cellular signaling networks [42]

Never self-injected before

Tang, B

The involved signaling pathways are quite diverse, promoting not only the production of inflammatory factors (IL-8, IL-6, and IL-1), but also the activation of granulocytemacrophage colony-stimulating factor, monocyte chemotaxis protein-1 (CCL2), macrophage movement inhibitory factor (MIF), TNF-, and tumor growth factor- (TGF-

Protein density was measured by a Bio-Rad XRS chemiluminescence detection system (Bio-Rad, USA)

Corticosteroid injections can impair tendon healing, working against the peptides effects