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The hypothesis is that a local application might more rapidly encourage the growth of new blood vessels in an area that may have poor blood supply, which is a common issue with tendon and ligament injuries

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Also, the shift in the NADH/NAD + ratio inhibits -oxidation of fatty acids and promotes triglyceride synthesis: excess of triglycerides is deposited in the liver and secreted into plasma as VLDL (see Clinical Box on p