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The most explored mechanisms are inflammation, the induction of apoptosis, destruction of the blood-testis barrier, and oxidative stress (34, 35)

each is supplied only as a reference material for non-clinical laboratory work

While two studies sourced their controls by community advertising [75, 86], most were sourced from hospitals, clinics or schools [71, 72, 77, 79, 83, 85, 88, 92, 93] and fourteen studies did not provide information on the source of their controls [48, 59, 60, 63, 6870, 73, 74, 76, 78, 81, 84]

The injury models are clean and controlled - surgical cuts, not the messy reality of human tendinopathy or chronic overuse injuries