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At the 12-month follow-up : 87.5% of patients reported significant relief defined as 50% reduction in baseline pain scores Mean VAS pain score dropped from 7.2 at baseline to 2.8 at 12 months KOOS (Knee Injury and Osteoarthritis Outcome Score) improved across all subscales: pain, symptoms, activities of daily living, sport/recreation, and quality of life No serious adverse events were reported across the treatment period The durability of the response at 12 months is particularly notable

Understanding how DSIP influences biological clocks helps researchers explore mechanisms behind jet lag, shift work fatigue, and disrupted sleep cycles

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In practical terms, the difference is small enough that standard dosing protocols do not adjust for it

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