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Common symptoms include: Pain and tenderness on the outer / inner elbow , centered over the lateral / medial epicondyle Aching or burning in the forearm muscles , which may radiate from the elbow toward the wrist Difficulty lifting or gripping , such as picking up a cup, turning a doorknob, or shaking hands A weakened or unreliable grip , especially during repetitive or sustained activity Symptoms usually build gradually over weeks rather than appearing suddenly, and they often flare with the specific motions that triggered the condition

TP, triptolide

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J Nutr 126:19371950