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J Neurol Neurosurg Psychiatry 86:879886

Boosts collagen production and prevents sun damage

Hormone replacement shows 32% reduced dementia risk with midlife estrogen-only therapy but 32% increased risk with late-life combined therapy

Practical supports that improve long-term results Progressive loading: structured strengthening that increases capacity gradually Movement quality: correcting compensation patterns that overload tissue Adequate protein: collagen remodeling requires amino acids Sleep optimization: recovery signaling deteriorates when sleep is poor Metabolic support: insulin resistance and systemic inflammation impair healing When these elements align, the tissue receives both the biochemical support and the mechanical signal required for durable remodeling