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It is thought that over time, the disease shifts from an early hypermetabolic state to a hypometabolic state with decreased metabolites (251) and reduced energy production (59), correlating with patient clinical profiles (185)

An athlete whos at the beginning of their season and needs treatment to get through until they can have surgery might get a one-time steroid injection for hip pain

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Regulates the level of substance P, beta-endorphin and cortisol

As a cofactor, it participates in many biochemical processes related to the nervous system, supporting neurotransmitters like dopamine and serotonin

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