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Key mechanisms include: Stimulation of collagen and elastin synthesis in fibroblasts Activation of lysyl oxidase for collagen cross-linking Enhanced production of glycosaminoglycans and decorin Modulation of metalloproteinase activity for controlled matrix breakdown The copper ion serves as an essential cofactor for enzymes involved in collagen synthesis and provides antioxidant protection through superoxide dismutase activation

89 In one study, women with osteoporosis and BPPV were more than three times as likely to have recurrent vertigo than women without osteoporosis, and the rate of recurrence increased as bone mineral density decreased

Doi:10.2174/1381612824666180515125918 Chang CH, Tsai WC, Lin MS, et al

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