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The skin attributes were evaluated using a Visioscan camera and Visioface digital photography, and reflectance confocal microscopy analysis revealed improvement in dermal density, collagen morphology, wrinkles, hydration, firmness, and tone and reduced elastosis after treatment with the hydrolyzed fish cartilage [35]

"Efficacy of oral N-acetylcysteine in the treatment of acetaminophen overdose." N Engl J Med

Thats because these approaches often only suppress inflammation rather than address the real issue: cellular degeneration in the tendons