We aimed to understand how N-acetyl glucosamine (GlcNAc), a compound known for its anti-inflammatory properties, affects the development and severity of collagen-induced arthritis (CIA). Our investigation involved applying a special multivalent GlcNAc-terminated glycoconjugate and assessing its influence through various methodologies.
The results were promising. We observed that GlcNAc treatment significantly reduced inflammation at the site of arthritis, notably decreasing the presence of immune cells that contribute to the disease. Furthermore, it appeared to hinder the activation of other immune cells, which are often involved in the production of harmful pro-inflammatory molecules.
Additionally, GlcNAc treatment not only delayed the onset of arthritis symptoms but also eased the severity of these symptoms in many cases. We found that about 18% to 31% of participants treated with GlcNAc completely avoided any arthritis symptoms. Overall, our findings support a new approach to managing arthritis by focusing on the glycobiological aspects of treatment, presenting GlcNAc as a potential therapeutic option for those suffering from this debilitating condition.
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9
Potential OA treatment advancements
Novel phosphoramidate prodrugs of N-acetyl-(D)-glucosamine with antidegenerative activity on bovine and human cartilage explants.
We explored the potential of N-acetyl-(D)-glucosamine, a compound often used as a dietary supplement for osteoarthritis (OA), to provide effective relief from this chronic joint condition. Our research focused on a series of newly developed prodrugs, specifically targeting ways to enhance the compound's absorption and effectiveness within the body.
We found that some modified versions of N-acetyl-(D)-glucosamine, known as O-3 and O-4 phosphate prodrugs, demonstrated significant chondroprotective effects in vitro. In simple terms, this means they helped protect and support cartilage health, which is vital for those suffering from OA. Notably, the prodrugs that included a specific amino acid called (L)-proline were particularly effective, even outperforming earlier versions.
Overall, our findings suggest that these novel compounds hold promise as new leads in the search for more effective treatments for osteoarthritis. They signify a positive step toward improving the management of this painful and degenerative joint disease.
Read More
8
N-acetylglucosamine derivatives show promise
Novel biologically active series of N-acetylglucosamine derivatives for the suppressive activities on GAG release.
We focused our research on the potential of N-acetylglucosamine, a modified form of glucosamine, to impact osteoarthritis, a common degenerative joint disease. Our investigations revealed that N-acetylglucosamine could enhance the oral bioavailability of glucosamine and is reported to have better in vitro chondroprotective effects compared to its parent compound.
To delve deeper into this, we examined N-acetylglucosamine derivatives modified specifically at the N position, using different chemical groups such as benzenesulfonyl and isoxazole. Among the many compounds we tested, we found that the derivatives with 3-(2-chlorobenzene)-5-methyl-isoxazole formyl chloride and p-methoxybenzenesulfonyl chloride were particularly effective at promoting chondrocyte health in our laboratory studies.
Our findings suggest that these newly developed compounds may hold promise as future treatments for osteoarthritis by enhancing joint health and potentially improving the quality of life for those affected by this condition.
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Most Useful Reviews
7.5
Slowed progression
9 people found this helpful
Works for my osteoarthritis. I've used this for several years for the osteoarthritis in my hands, and it seems to have significantly slowed the progression of the bumps on my knuckles. I use it alongside SAM-e.
Read More
9
Significant pain relief
6 people found this helpful
This is the first supplement that has truly improved my shoulder pain stemming from post-traumatic shoulder arthritis. Initially sceptical due to past failures with other products, I noticed a significant improvement after 3-4 weeks. I'm now almost pain-free and no longer need NSAIDs. I take 1.5g daily in the morning, increasing to 3g on more active days. Occasionally, I experience some reflux, which is manageable by taking the supplement with food. I highly recommend it to anyone suffering from arthritis, but patience is key as the effects take a few weeks to become apparent.
Read More
9
Effective arthritis control
5 people found this helpful
This is the best I have found. I take this with NOW MSM and NOW Chondroitin, providing my arthritis with the best control I've ever experienced. I've tried several combination products over the last three years and found that taking individual products is much more effective. I also appreciate the absence of other ingredients like Vitamin D or Calcium, which I take in higher doses separately. The capsules are large, but I've had no trouble swallowing them. According to some articles I've read, Glucosamine Sulfate is absorbed better than other forms of Glucosamine.
We aimed to understand how N-acetyl glucosamine (GlcNAc), a compound known for its anti-inflammatory properties, affects the development and severity of collagen-induced arthritis (CIA). Our investigation involved applying a special multivalent GlcNAc-terminated glycoconjugate and assessing its influence through various methodologies.
The results were promising. We observed that GlcNAc treatment significantly reduced inflammation at the site of arthritis, notably decreasing the presence of immune cells that contribute to the disease. Furthermore, it appeared to hinder the activation of other immune cells, which are often involved in the production of harmful pro-inflammatory molecules.
Additionally, GlcNAc treatment not only delayed the onset of arthritis symptoms but also eased the severity of these symptoms in many cases. We found that about 18% to 31% of participants treated with GlcNAc completely avoided any arthritis symptoms. Overall, our findings support a new approach to managing arthritis by focusing on the glycobiological aspects of treatment, presenting GlcNAc as a potential therapeutic option for those suffering from this debilitating condition.
Read More
9
Glucosamine enhances exercise effects
Nutrition supplementation combined with exercise versus exercise alone in treating knee osteoarthritis: a double-blinded, randomised, placebo-controlled trial.
We investigated how glucosamine, along with other nutrients, combined with exercise compares to exercise alone for knee osteoarthritis. In this double-blinded, controlled trial with 65 participants, those receiving the nutrition supplement showed better improvements in pain and stiffness scores after three months compared to the exercise-only group.
By six months, benefits continued to favor the supplement group, highlighting its earlier effectiveness. This indicates that incorporating glucosamine into arthritis treatment may lead to quicker and more significant relief when paired with exercise.
Read More
9
Effective new treatment for RA
Inflammation-Responsive Mesoporous Silica Nanoparticles with Synergistic Anti-inflammatory and Joint Protection Effects for Rheumatoid Arthritis Treatment.
We explored an exciting new treatment for rheumatoid arthritis (RA) using a mesoporous silica nanosystem called MSN-TP@PDA-GlcN. This innovative approach combines glucosamine with a powerful anti-inflammatory drug, enabling targeted delivery within the joints.
Our tests showed that this nanosystem effectively reduced inflammation and protected joint tissues without causing toxicity. It released medications steadily in acidic environments found in inflamed joints, offering hope for improved RA treatments.
Thus, MSN-TP@PDA-GlcN presents a promising strategy to combat the debilitating effects of RA.
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9
Dietary supplement aids arthritis symptoms
Open, Observational, Single-Arm, Multicenter Study Assessing the Effectiveness of a Dietary Supplement Containing Hydrolyzed Collagen, Chondroitin Sulfate, and Glucosamine for Osteoarthritis Pain Reduction.
We explored the effectiveness of a nutritional supplement containing hydrolyzed collagen, chondroitin sulfate, and glucosamine in reducing pain from osteoarthritis (OA).
In this observational study, 186 patients took the supplement daily for six months. They reported significant decreases in joint pain and improved physical function over that time.
Notably, there were no serious side effects. Overall, our findings suggest this supplement could be beneficial for managing OA symptoms effectively.
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9
N-acetylglucosamine shows promise
Partially acetylated chitooligosaccharides bind to YKL-40 and stimulate growth of human osteoarthritic chondrocytes.
We investigated how partially acetylated chitooligosaccharides, specifically the oligomers of N-acetylglucosamine, might influence the growth of chondrocytes—the cells crucial for cartilage health—in people with osteoarthritis. The study focused on the binding of these sugars to YKL-40, a protein that is often associated with inflammation in joints.
Through careful processing of chitin, we derived two forms of chitooligosaccharides: Oligomin™ and T-ChOS™. Our results unveiled that larger versions of these oligosaccharides showed a strong attraction to YKL-40. More significantly, when we exposed osteoarthritic chondrocytes to these compounds, we noted a noteworthy increase in cell growth—up to three times more under certain conditions.
Interestingly, Oligomin™ required a higher concentration compared to T-ChOS™, which demonstrated that smaller oligosaccharides could be effective at lower doses. However, more isn't always better; excessively high concentrations led to reduced benefits. When we introduced chitotriose, a smaller oligosaccharide, it hampered the positive effects seen with the larger forms, suggesting a complex interplay in oligosaccharide behavior in relation to cellular responses.
Overall, these findings indicate a promising new direction in treating joint inflammation and give us hope for developing new therapies aimed at alleviating the discomfort of arthritis.
Works for my osteoarthritis. I've used this for several years for the osteoarthritis in my hands, and it seems to have significantly slowed the progression of the bumps on my knuckles. I use it alongside SAM-e.
Read More
9
Significant pain relief
6 people found this helpful
This is the first supplement that has truly improved my shoulder pain stemming from post-traumatic shoulder arthritis. Initially sceptical due to past failures with other products, I noticed a significant improvement after 3-4 weeks. I'm now almost pain-free and no longer need NSAIDs. I take 1.5g daily in the morning, increasing to 3g on more active days. Occasionally, I experience some reflux, which is manageable by taking the supplement with food. I highly recommend it to anyone suffering from arthritis, but patience is key as the effects take a few weeks to become apparent.
Read More
9
Effective arthritis control
5 people found this helpful
This is the best I have found. I take this with NOW MSM and NOW Chondroitin, providing my arthritis with the best control I've ever experienced. I've tried several combination products over the last three years and found that taking individual products is much more effective. I also appreciate the absence of other ingredients like Vitamin D or Calcium, which I take in higher doses separately. The capsules are large, but I've had no trouble swallowing them. According to some articles I've read, Glucosamine Sulfate is absorbed better than other forms of Glucosamine.
Read More
8
Eliminated pain
4 people found this helpful
Osteo-arthritis help. I have used this product for the past 25 years. While it doesn't aid my Rheumatoid Arthritis, it has effectively eliminated the issues I had with osteo-arthritis, especially in my hands. Jan P.
Read More
10
Quick pain relief
3 people found this helpful
Buy the best, forget the rest. My arthritis pain in my hip completely vanished within the first week of using this product. For maintenance, it only needs to be taken three times a week. If you have simple osteoarthritis, this is all you need. It’s 100% effective and thoroughly reliable.
Arthritis is a general term that refers to inflammation of the joints, which can lead to pain, stiffness, and swelling. It encompasses over 100 different types, with osteoarthritis and rheumatoid arthritis being the most common. Osteoarthritis, often associated with aging, occurs when the cartilage that cushions the joints wears down over time. In contrast, rheumatoid arthritis is an autoimmune disorder where the body's immune system mistakenly attacks the joints, leading to chronic inflammation and potential disability if left untreated.
Symptoms of arthritis can vary widely depending on the type but typically include joint pain, swelling, reduced range of motion, and sometimes fatigue. Diagnosis usually involves a combination of physical exams, imaging tests, and blood tests. While there is currently no cure for arthritis, various treatments ranging from lifestyle modifications, physical therapy, and medications can help manage symptoms and improve quality of life. For those affected, seeking early diagnosis and intervention is crucial for slowing disease progression and preserving joint function.
Glucosamine is a naturally occurring compound found in the body, primarily in cartilage. It plays a crucial role in maintaining the health of joint tissues and is often used as a dietary supplement to support joint function and alleviate symptoms of osteoarthritis. Glucosamine supplements come in several forms, including glucosamine sulfate, glucosamine hydrochloride, and N-acetyl glucosamine, each with slightly different properties and potential benefits. While many users report improved joint health and reduced pain levels, scientific studies yield mixed results on the efficacy of these supplements.
In addition to joint support, glucosamine may also have other uses, such as helping to manage inflammation and supporting overall cartilage repair. Many people turn to glucosamine supplements as a natural alternative to over-the-counter pain medications, although it’s essential to consult with a healthcare provider before starting any new supplement regimen. Key considerations include potential side effects, interactions with other medications, and appropriate dosages, as individual responses to glucosamine can vary widely.
Glucosamine is a popular dietary supplement often touted for its potential benefits in managing arthritis symptoms, particularly osteoarthritis. This naturally occurring compound is found in cartilage and is thought to play a role in building and maintaining joint health. Some studies suggest that glucosamine supplementation may help to alleviate pain, reduce stiffness, and improve joint function for individuals suffering from osteoarthritis, although results are mixed and more research is needed to confirm its efficacy in different populations.
It's important to note that while some people report positive effects from glucosamine, it may not work for everyone. Additionally, the quality and formulation of glucosamine supplements can vary widely, so choosing a reputable brand is essential. If you're considering adding glucosamine to your arthritis management plan, it's wise to consult with a healthcare professional to discuss its suitability for your specific condition and to ensure it won't interfere with any other medications or treatments.
Based on user reviews, individuals taking this supplement for arthritis typically report noticing improvements within a time frame of 3 to 4 weeks. One user mentioned a significant alleviation of shoulder pain stemming from post-traumatic arthritis after around three to four weeks of consistent use (Read Review). Another review highlighted that a family member felt relief in their knees and lower back within a month of starting the dosage (Read Review).
While individual experiences can vary, the general consensus points to a few weeks as a reasonable estimate for users to begin feeling the positive effects of glucosamine supplements. Users emphasize the importance of patience during this period, noting that consistent use is key to achieving relief from arthritis symptoms (Read Review). This timeline aligns with typical supplement recommendations, suggesting that while some may experience faster relief, a month of regular intake is a common benchmark.
Scientific research supports the use of glucosamine as a supplement for managing arthritis, particularly knee osteoarthritis (OA). A systematic review revealed that glucosamine sulfate has a positive impact on pain relief and functional improvements in individuals with knee OA, showcasing significant benefits, especially within the first three months of treatment [1]. Further studies have confirmed these findings, demonstrating that glucosamine not only aids in reducing joint pain but also enhances mobility, especially when combined with exercise [2].
Moreover, glucosamine is often evaluated alongside other treatments, such as chondroitin sulfate, providing insight into combined therapeutic approaches. While glucosamine shows promise, particularly in alleviating symptoms, it's crucial to note that the results can vary, and more extensive trials are necessary to understand its full efficacy and long-term impact on joint health [7]. Overall, the current body of scientific literature strongly suggests that glucosamine can be a valuable part of an arthritis treatment strategy, helping improve the quality of life for those affected.
Users have reported a range of improvements in their arthritis symptoms after taking glucosamine, highlighting experiences that may vary by individual. A common theme among reviews is the alleviation of joint pain, with one user noting complete relief of shoulder pain after just 3-4 weeks of consistent usage, stating they are "almost pain-free" and no longer reliant on NSAIDs (Read Review). Another user emphasized their reliance on this product for years, claiming it is the only one that has helped manage their symptoms effectively, reinforcing the idea that users often find this specific formulation to be particularly beneficial (Read Review).
Moreover, multiple users have highlighted significant improvements such as enhanced joint mobility and consistent pain relief. One user even remarked that they are nearly convinced they no longer have arthritis, attributing their regained function to long-term use of the supplement (Read Review). Such anecdotal reports indicate that, while results can vary, many individuals experience meaningful reductions in pain and improvements in mobility, providing a supportive outlook for those considering glucosamine for arthritis relief.
According to user reviews, many individuals have successfully combined glucosamine with other supplements to enhance their arthritis management. For example, one user reported that their sister finds relief from rheumatoid arthritis when taking glucosamine alongside MSM and Curcumin, indicating a potential synergy between these supplements for better pain alleviation (Read Review). Others mention positive experiences mixing glucosamine with fish oil, leading to improved mobility and the ability to maintain a full-time work schedule without pain (Read Review).
Users highlight the importance of finding the right combination that works for them, as individual responses can vary. One long-time user noted that taking glucosamine with flax oil has made them nearly convinced they no longer have arthritis (Read Review). This integration of supplements reflects a broader trend where users are exploring multi-supplement approaches to tackle arthritis, demonstrating that the efficacy may improve when these compounds are strategically combined. The emphasis on personal experimentation in conjunction with the core glucosamine supplement appears to be a common theme among user experiences.
The optimal dose for glucosamine when treating arthritis, particularly knee osteoarthritis, has been commonly cited as approximately 1.5 grams per day, a figure that has been recommended for decades. Research shows that this dosage may lead to significant pain relief and functional improvements in patients (see [1]). However, there remains ongoing debate among experts about whether this is the most effective dose, as higher doses may enhance its benefits, especially in certain populations (see [16]).
Clinical trials have demonstrated that using glucosamine sulfate at this standard daily dose can provide comparable effects to non-placebo medications over extended periods, including three months up to one year (see [7] and [8]). Nonetheless, further investigations are recommended to explore potentially higher dosages that could yield better outcomes for patients suffering from arthritis symptoms, as every clinical trial has consistently used the traditional 1.5 grams dosage without exploring the effects of higher administered amounts.[7]
9
Significant pain relief
6 people found this helpful
This is the first supplement that has truly improved my shoulder pain stemming from post-traumatic shoulder arthritis. Initially sceptical due to past failures with other products, I noticed a significant improvement after 3-4 weeks. I'm now almost pain-free and no longer need NSAIDs. I take 1.5g daily in the morning, increasing to 3g on more active days. Occasionally, I experience some reflux, which is manageable by taking the supplement with food. I highly recommend it to anyone suffering from arthritis, but patience is key as the effects take a few weeks to become apparent.
9
Joint pain relief
An excellent remedy for joint pain, my mother felt the results within a month, experiencing relief in her knees and lower back. I discovered that a dosage of 1500 mg often replenishes deficiencies, alongside a suitable diet. Previously diagnosed with osteoarthritis, I find the quality, composition and ingredients to be outstanding! The packaging arrived undamaged. As age advances, joints often remind us of their presence! It's essential to maintain health with high-quality dietary supplements like Nau Foods.
9
Manageable symptoms
3 people found this helpful
This is the only glucosamine product that has made my arthritis symptoms manageable. I've tried many brands, but this is by far the best, and I have relied on it for years.
10
Nearly arthritis-free
I've used this product for years alongside their flax oil, and I'm nearly convinced I no longer have arthritis. It's that effective.
7.5
Sister finds relief
I purchased Glucosamine sulphate for my sister with rheumatoid arthritis. She finds relief and has continued using it alongside MSM and Curcumin.
8
Pain-free work
I use this product with fish oil to address osteoarthritis throughout my body. It enables me to work full-time without pain and enjoy my day.
7
Glucosamine improves knee osteoarthritis
Effectiveness and Safety of SYSADOAs Used in Eastern and Western Regions for the Treatment of Knee Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials-SYSADOAs Are Effective and Safe for Knee OA.
We examined the effects of glucosamine, chondroitin, and other symptomatic slow-acting drugs on knee osteoarthritis.
Analyzing 21 clinical trials, we found that patients treated with these compounds experienced better pain relief and functional improvements compared to those on placebo, especially noticeable within the first three months.
Interestingly, the results showed no significant difference in effectiveness when comparing these treatments to non-placebo medications.
Overall, glucosamine and its counterparts are safe and effective options for managing knee OA symptoms.
9
Glucosamine enhances exercise effects
Nutrition supplementation combined with exercise versus exercise alone in treating knee osteoarthritis: a double-blinded, randomised, placebo-controlled trial.
We investigated how glucosamine, along with other nutrients, combined with exercise compares to exercise alone for knee osteoarthritis. In this double-blinded, controlled trial with 65 participants, those receiving the nutrition supplement showed better improvements in pain and stiffness scores after three months compared to the exercise-only group.
By six months, benefits continued to favor the supplement group, highlighting its earlier effectiveness. This indicates that incorporating glucosamine into arthritis treatment may lead to quicker and more significant relief when paired with exercise.
8
Glucosamine and chondroitin benefits assessed
Evaluation of efficacy and safety of glucosamine sulfate, chondroitin sulfate, and their combination regimen in the management of knee osteoarthritis: a systematic review and meta-analysis.
We examined the effectiveness of glucosamine sulfate (GS) and chondroitin sulfate (CS) for knee osteoarthritis (KOA) through a systematic review. Using a thorough analysis of various studies, we found that both GS and CS offer significant benefits—specifically, CS helps reduce joint pain and improves physical function, while GS decreases joint space narrowing.
However, when combined, they didn't show any significant improvement in symptoms. This suggests that more focused clinical trials are needed to truly understand how these treatments work together.
4
Glucosamine's dosage effects on arthritis
Glucosamine for the Treatment of Osteoarthritis: The Time Has Come for Higher-Dose Trials.
We explored how n-acetylglucosamine, a compound closely related to glucosamine, affects arthritis. Despite the mixed results in clinical trials concerning glucosamine, studies in rodent models show its potential to prevent joint destruction and reduce inflammation.
Our findings indicate that the effectiveness of glucosamine is significantly influenced by dosage. In particular, higher doses in animal studies appear to enhance its benefits on inflammatory conditions. Interestingly, the minimum effective dose of glucosamine we observed in studies achieves plasma levels similar to those produced when taking standard daily doses.
We noted that every clinical trial so far has utilized the same dose of 1.5 grams, a figure recommended decades ago. However, there has been no solid evidence supporting that this dose is the most effective. With varying patient populations and study designs, it's easy to see why some trials have reported null results.
We believe it is essential to investigate higher dosages and their effects on osteoarthritis rigorously. By doing so, we can provide clearer insights into the potential benefits of n-acetylglucosamine for individuals suffering from this debilitating condition.
7
Mesotherapy shows variable effectiveness
Evaluation of different substance combinations in a multiple-session mesotherapy protocol for the management of osteoarthritis in dogs: a retrospective study.
We examined how different combinations of substances administered through mesotherapy affect dogs suffering from hip osteoarthritis.
In our study involving 104 dogs, we set up four treatment groups, with one group receiving a combination that included glucosamine.
While glucosamine was part of the treatment options, the best outcomes were seen in groups using lidocaine, piroxicam, and thiocolchicoside, especially when combined with photobiomodulation.
This combination delivered longer-lasting and more significant clinical improvements in pain and mobility.
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Amarase C, Tanavalee A, Ngarmukos S, Tanavalee C, Jaruthien N, et al. Comparison of functional performance outcomes between oral patented crystalline glucosamine sulfate and platelet-rich plasma among knee osteoarthritis patients: a propensity score matching analysis. Aging Clin Exp Res. 2024;36:168. 10.1007/s40520-024-02814-7
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Tsuji T, Yoon J, Kitano N, Okura T, Tanaka K. Effects of N-acetyl glucosamine and chondroitin sulfate supplementation on knee pain and self-reported knee function in middle-aged and older Japanese adults: a randomized, double-blind, placebo-controlled trial. Aging Clin Exp Res. 2016;28:197. 10.1007/s40520-015-0412-6
Richter J, Capková K, Hříbalová V, Vannucci L, Danyi I, et al. Collagen-induced arthritis: severity and immune response attenuation using multivalent N-acetyl glucosamine. Clin Exp Immunol. 2014;177:121. 10.1111/cei.12313
Frisbie DD, McIlwraith CW, Kawcak CE, Werpy NM. Evaluation of intra-articular hyaluronan, sodium chondroitin sulfate and N-acetyl-D-glucosamine combination versus saline (0.9% NaCl) for osteoarthritis using an equine model. Vet J. 2013;197:824. 10.1016/j.tvjl.2013.05.033
Coburn JM, Wo L, Bernstein N, Bhattacharya R, Aich U, et al. Short-chain fatty acid-modified hexosamine for tissue-engineering osteoarthritic cartilage. Tissue Eng Part A. 2013;19:2035. 10.1089/ten.TEA.2012.0317
Einarsson JM, Bahrke S, Sigurdsson BT, Ng CH, Petersen PH, et al. Partially acetylated chitooligosaccharides bind to YKL-40 and stimulate growth of human osteoarthritic chondrocytes. Biochem Biophys Res Commun. 2013;434:298. 10.1016/j.bbrc.2013.02.122
Serpi M, Bibbo R, Rat S, Roberts H, Hughes C, et al. Novel phosphoramidate prodrugs of N-acetyl-(D)-glucosamine with antidegenerative activity on bovine and human cartilage explants. J Med Chem. 2012;55:4629. 10.1021/jm300074y
Shavlovskaya OA. [Chondroprotective therapy and adjuvant support for patients with chronic lower back pain]. Zh Nevrol Psikhiatr Im S S Korsakova. 2024;124:120. 10.17116/jnevro2024124121120
Zhou Q, Liu J, Zhu Y, Wang Y, Wang GZ, et al. [Mechanism of Huangqin Qingre Chubi Capsules regulating p53/p21 signaling pathway to delay chondrocyte senescence in osteoarthritic rats]. Zhongguo Zhong Yao Za Zhi. 2024;49:3330. 10.19540/j.cnki.cjcmm.20240318.702
Ni HY, Zhang YP, Zhang XF. Therapeutic effect of San Bi Tang combined with glucosamine sulfate capsules in cold-dampness-type knee osteoarthritis. World J Clin Cases. 2024;12:3854. 10.12998/wjcc.v12.i19.3854
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