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It interacts with the dopaminergic system and appears to have neuroprotective properties

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When a disc bulges or herniates, it can place pressure on nearby nerves

TNFR-1 exerts a negative influence on hippocampal adult neurogenesis,656667 whereas TNFR-2 is involved in promoting neurogenesis.6869 TNF- is also closely associated with synaptic plasticity by inducing -amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptors that mediate glutamatergic activity.70 Because human neural stem cells have both TNFR-1 and TNFR-2, whether neurogenesis is enhanced or inhibited depends on the microenvironment in the CNS and the context of insults

Distribution to injury sites tendon, ligament, muscle is also evidenced by efficacy at those sites