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The primary mechanism, as we've discussed, is indirect
[6] Giorgio Garau et al., Traumatic patellar tendinopathy, Disability & Rehabilitation 30, 20-22 (2008): 1616

Sterile water should only be used for single-use situations, as the solution must be used within 24-48 hours
The removal of hydroxyl group, 39 lead to poor tyrosinase inhibition, indicating that two hydroxyl groups are important
It is essential to ensure the treatment is done in a sterile, clinical environment with proper professional oversight

More research is needed to determine the full extent of its benefits and optimal use
