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Results The meta-analysis and systematic review were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Page et al., 2021)

In reality, most people who struggle with tendon rehab are not unlucky. Theyre caught in a cycle of one step forward, two steps back because of avoidable mistakes: using the wrong exercise, loading too much or too little, training too often, or overlooking biomechanical factors that quietly overload the tendon

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Over time, carnosine buffers the pH decline that causes the onset of muscle fatigue and failure, while building endurance and improving recovery