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2010 May;58(2):85-90 Hisham Samir R., Mohammad Hassan S., Ibtesam Ibrahim ElD

Global prevalence of diabetic retinopathy and projection of burden through 2045: systematic review and meta-analysis

These effects lead to decreased caloric intake and subsequent weight loss

Why Impaired Nutrient Status Delays Recovery When nutrient reserves decline: Collagen and connective tissue repair slows Micro-injuries accumulate faster than they can resolve Inflammatory regulation becomes less efficient Muscles fatigue more quickly and recover more slowly Nerve tissue becomes more vulnerable to irritation This helps explain why some patients experience: Recurrent strains or tendon injuries Persistent joint pain despite normal imaging Slower recovery from physical therapy or exercise Pain flares during stress, illness, or poor sleep In these cases, pain is not merely a signal to suppress it reflects compromised repair capacity