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Or it can be a cumulative overload, where you've done quite a lot of hard training over several weeks, and the tendon has not had enough time between sessions to repair the micro-damage from the training, so instead the damage accumulates over time

"Several species of fungi, particularly Aspergillus oryzae, naturally produce koji acid, but this organic compound can also be synthesized either by biological fermentation of carbohydrates or chemical synthesis," says Sabina Wizemann, Director of the Beauty Lab at the GH Institute

For those integrating these into a broader health plan, the dosing strategy at the clinic is paramount

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