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The implementation of aerobic endurance training results in an elevation of shear stress and a chronic enhancement of flow-mediated stimuli, which in turn upregulate the expression of eNOS, increase capillary density, and augment mitochondrial oxidative capabilitytransformations that contribute to improved resting and exercise muscle perfusion as well as metabolic efficiency (18)

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This improvement occurs because increased collagen production helps fill in fine lines and wrinkles from within the skin layers, rather than just temporarily plumping the surface

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