Repeated overuse interrupts the tendons attempts to grow stronger in response to the training loads and as this continues, cellular changes inside the tendon begin to occur3
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These peptides have also been shown to exert anti-inflammatory properties, probably due to the prevention of bacterial translocation in the gut by the increase of TJ expression, the suppression of pro-inflammatory cytokines released by T cells, monocytes, and dendritic cells, and the prevention of macrophage activation and migration [28]
In healthy tissue, the peptide maintains NO homeostasis by modestly increasing endothelial NOS (eNOS) for beneficial vasodilation while suppressing inducible NOS (iNOS) that drives pathological inflammation
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