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But heres the quiet detail most people miss: In certain patients, this combination can contribute to high anion gap metabolic acidosis (5-oxoproline accumulation), especially where there are risk factors like sepsis, malnutrition, renal impairment, chronic alcohol use, or prolonged high-dose paracetamol

Its effects on wound healing and immune cells likewise may prove helpful

Promotes balanced inflammatory response Referenced in studies for its potential to help regulate inflammation-related signaling

This doesnt mean complete immobilization, which can impair tendon healing, but rather smart activity modification

Use it to guide a conversation about fit, timing, and safety