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They might also apply pressure to the suspected muscle knot to see if it causes referred pain (pain in another area of the body)

Crit Rev Food Sci Nutr 2019;59:2697-707

Furthermore, elevated levels of pro-inflammatory interferon (IFN-), tumor necrosis factor (TNF-), and granzyme B (produced by CD8 + T cells) increased the IFN- level in the adipose tissue of middle-aged mice [11]