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Research by Jiang et al

Thus, researchers, clinicians, advocates and policy-makers should consider viewing the burden and management of spinal degeneration holistically as part of the OA disease continuum

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redundant mechanisms Timing to avoid interference Individual tolerance and response Professional guidance for complex protocols Cycling and Duration Strategic cycling optimizes results and maintains responsiveness: Acute Injury Protocol Intensive use: 4-8 weeks Taper: 2-4 weeks Maintenance or break: As needed Performance Enhancement Loading: 6-8 weeks Maintenance: 4-8 weeks Off-cycle: 4-6 weeks General Wellness Continuous low-dose: 3-6 months Break: 1-2 months Resume: As desired Individual responses varysome maintain benefits with continuous use, while others prefer cycling approaches