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Lancet 2023;402:613-26

Trauma and injury may lead to the activation of T cells and the initiation of an antigen specific response, in this case the activation of fibroblasts and production of glucosaminoglycans (GAGs) (119)

The NHS Inform Scotland guidance ties the maintenance schedule to the cause of the deficiency, which is why the plan is revisited rather than left on autopilot

Patients often notice better energy, improved recovery, and more stable metabolism, which helps them stay consistent with exercise and healthy habits