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TB-500 (Thymosin Beta-4 Fragment) TB-500 peptide is a synthetic version of a fragment of thymosin beta-4, often discussed for its role in cellular migration and tissue regeneration

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Intervention group 1: Integrated approach (manual therapy and home exercise program) Intervention group 2: Conventional approach (Electric stim, heat, and McKenzie press-ups) Control group: Receives conventional medical care (pain education and a pamphlet on basic stretches)