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Key factors include: Repetitive jumping or running on hard surfaces Sudden increase in training intensity, frequency, or duration Poor training technique, inadequate warm-up, or muscle imbalances Tight or inflexible quadriceps and hamstrings Weakness in glute or core muscles Inadequate footwear or improper support during exercise Previous knee injury, chronic illness, or underlying structural issues Athletes in jumping or sprinting sports, as well as those returning from a period of inactivity too quickly, are especially at risk

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In FBTC seizures, elevated lactic acid points to a surge in anaerobic glycolysis driven by the intense energy demands and hypoxia characteristic of prolonged neuronal activity