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A review of the literature shows that shockwave is a safe and effective treatment for patellar tendinopathy, particularly in those for whom other non-operative treatments have failed, as well as those who are looking to avoid invasive intervention i.e

Journal of Medicinal Chemistry, 57 (22), 9220

We strongly advise against using a solution that has been shaken vigorously, as its potency and structural integrity could be compromised

10.1111/apha.12515 Summary Keywords age-related diseases, healthy longevity, inflammation, oxidative stress, oxidative damage Citation Tan BL, Norhaizan ME, Liew W-P-P and Sulaiman Rahman H (2018) Antioxidant and Oxidative Stress: A Mutual Interplay in Age-Related Diseases