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Most of the time, if the tendon is acutely flared up, it's good to go easy on exercises that involve flexing the elbow or supinating it

Athletes may use these substances outside competition only within governing body guidelines

Before escalating to second- or third-line therapies, clinicians should first evaluate for potential confounding factors such as non-adherence, sub-optimal drug dosing, azathioprine hypermethylation, alternative etiologies, and co-existing conditions like celiac disease, metabolic dysfunction-associated steatotic liver disease, or ASC/overlap syndromes [29, 104]