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Furthermore, melatonin can be transferred by hydrogen atoms (hydrogen atom transfer, HAT), proton-coupled electron transfer (proton-coupled electron transfer, PCET), free radical addition, substances (radical adduct formation, RAF), single-electron transfer (SET), sequential electron-proton transfer (SEPT), and other mechanisms that directly remove peroxy groups (peroxyl radical, ROO), hydroxyl radical (OH), OO groups (nitric oxide, NO), and other free radicals (58)

The connection between sleep quality and shoulder pain is bidirectional: shoulder pain disrupts sleep, and poor sleep impairs healing

95% CI, 5.7731.2)

Clinical data are scarce