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A careful skeptic would say: the in-clinic procedure has solid evidence, the at-home extension is biologically plausible and consistent with the procedure, but the dataset is younger than the recommendation implies

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Nguyen NT, Yabluchanskiy A, de Castro Brs LE, Jin YF, Lindsey ML (2014) Aging-related changes in extracellular matrix: implications for ventricular remodeling following myocardial infarction

Inflammation control: Chronic synovial irritation can perpetuate pain even when imaging appears normal. Microvascular support: Improved nutrient delivery supports remodeling in tissues that are otherwise slow to repair

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