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The condition affects the extensor tendons that attach to the lateral epicondyle, the bony prominence on the outside of your elbow

When those junctions are compromised, by NSAIDs, alcohol, chronic stress, or repeated antibiotic courses, the result is a low-grade inflammatory state that shows up as bloating, systemic fatigue, food sensitivities, and immune dysregulation

Supplements, unlike drugs, do not have to go through rigorous studies to prove safety and efficacy before hitting store shelves, meaning they are subject to minimal oversight, says Zeller, who worked on supplement issues at the FDA in the 1990s

A separate line of research concerns vascular biology