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Shamban, who has served as a clinical investigator on many FDA trials, notes that when a product is approved by the agency, it first requires a “fairly expensive” trial process

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Tendons do not heal as well as muscle, but the healing process in both is very complex and under regulation of many different factors such as vascular endothelial growth factor (VEGF), fibroblast growth factor (FGF), transforming growth factor beta (TGF-ß), tumor necrosis factor (TNF) and NO (5, 6)