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Its effects on BDNF are believed to be mediated through cortisol reduction and modulation of stress-response pathways

The lack of mechanistic overlap also means you are not doubling up on the same side effects

doi: 10.1016/j.matbio.2021.02.004 31 ZhangDTangBXieXXiaoY-FYangS-MZhangJ-Wet al
Extracorporeal shock wave therapy (ESWT): This sends shockwaves through the tissues and is supposed to activate the natural healing mechanisms
