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In contrast, almost half of included studies showed no statistically significant improvement in glycemic status [19, 20, 22,23,24, 26, 29, 31]

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Its proposed mechanisms are complex and multifaceted, involving interactions with the nitric oxide (NO) system, influence on growth factor expression (like Vascular Endothelial Growth Factor or VEGF), and modulation of cellular pathways related to tissue repair

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