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Some practitioners combine both approaches

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All are critical for repairing the damage sustained in a concussion.[ix] Beneficial effects of the treatment include: Increased angiogenesis growth of new blood vessels Decreased edema (swelling) Increased lymphatic drainage Increased blood flow and cerebral oxygenation Decreased neuron excitotoxicity Anti-apoptosis reduced cell death Anti-inflammation Increased antioxidants Increased production of neurotrophins neuron growth factors Increased synaptogenesis a growth of new synapses Concussion treatment supplements and increasing BNDF Laser therapy has an additional benefit that is extremely valuable for treating concussion: It stimulates the production of brain-derived neurotrophic factor (BDNF).[x] Often called fertilizer for the brain, BDNF is crucial for repairing injured neurons and growing new ones, restoring communication among neurons, and reducing the long-term risk of neurodegeneration

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Interestingly, when TBRF-specific antigens are utilized in Mexico, serologic studies point to ongoing circulation of TBRF spirochetes (Vazquez-Guerrero et al., 2019)