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Intervention group 1: Integrated approach (manual therapy and home exercise program) Intervention group 2: Conventional approach (Electric stim, heat, and McKenzie press-ups) Control group: Receives conventional medical care (pain education and a pamphlet on basic stretches)

It has been observed that fermentation process increases the antioxidant content of legumes, such as fermented mottled cowpea and speckled kidney bean has higher total antioxidant capacity after fermentation (Gan et al., 2016a, b)

N-Acetyl-L-Cysteine (NAC) is a stable form of cysteine and a sulfur-containing amino acid with potent antioxidant and detoxifying properties

It helps the body efficiently convert fats and carbohydrates into energy, contributing to improved mental clarity and metabolic support