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Common reports include: Waking fewer times during the night Feeling more refreshed upon waking Improved daytime energy and mood Reduced stress reactivity Better recovery from exercise The stress-modulating effects often become noticeable during this window as cortisol patterns normalize

Treating the metabolic conditions becomes part of treating the osteoarthritis. Research has shown that patients with type 2 diabetes are more likely to have severe osteoarthritis as well as a higher likelihood of needing revision surgeries after knee replacements

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