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Enzymatic reactions, such as those involving cytochrome P450, xanthine oxidase, and nitric oxide synthase, can also produce free radicals [14]

These differences highlight the necessity for tendon-specific strategies in adhesion prevention, as the tendon unit, a morpho-functional entity affected by mechanical, hormonal, and pathological stimuli, undergoes healing through collagen synthesis, underscoring the restoration of homeostatic balance as a therapeutic objective [15, 16]

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Healthcare professionals often blend these methods as dosing depends on various factors