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doi: 10.1016/S0735-1097(02)01797-7

At physiological concentrations, lactate acts as an important metabolic signaling molecule, promoting wound healing by regulating cellular signaling, stimulating neovascularization, and enhancing fibroplasia, among other mechanisms (Zhang et al., 2019

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16 Another recent retrospective study found that if those with pre-existing avascular necrosis and subchondral insufficiency fracture are excluded from analysis, patients treated with hip CSI did not have significantly higher rates of short-term hip OA progression or femoral head articular surface collapse

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It acts as a cofactor for lysyl oxidase, the enzyme that crosslinks new collagen and elastin into stable matrix