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Since chronic tendinopathy involves predominantly degenerative rather than inflammatory processes, anti-inflammatory agents show minimal capacity to alter disease trajectory [1,5–11]

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However, it can also be detrimental referring ME/CFS patients to psychiatrists ( To manage and live with ME/CFS, it is also important that patients schedule regular trips to their physician to manage their symptoms, as well as discuss complementary approaches the patient may have adopted- such as new supplements (540)