|                      Cartilage provides much of the cushioning between bones,  particularly at the joints. Both heavy aerobic exercise and heavy weightlifting  can wear down cartilage over time, as the repeated impacts at the joints damage  the soft tissue. Bodybuilders run into this problem in the upper body, as their  low-rep, high-weight regimens, designed to build muscle mass, wear away  cartilage in the process. 
                  The good news is that this is not an irreversible process. It  is indeed possible not only to maintain the cartilage that you have while  executing an exercise program, but also to add to the cartilage that is already  there, both through workout techniques and health supplements. 
                  Adding  Cartilage in the Gym. If you’re lifting weights that only allow you to do  between four and eight reps, your cartilage will break down over time. The  heavy weight causes molecules called cytokines to send out chemicals that  actually break apart the cartilage; this is similar to the process that causes  arthritis. 
                  Every now and then, even the most massive lifters need to  work in workouts at lighter weight – weight with which you can perform 15 to 20  reps. Lighter weights in your workouts keep your cytokines from sending out the  attackers, and your cartilage has time to heal itself between workouts, and it  will naturally regenerate – and rebuild. 
                  The Power  of Supplements. Two supplements that can complement your exercise  therapy are glucosamine and chondroitin. Glucosamine contains molecules that  your cartilage needs to repair and rebuild itself. Chondroitin is actually an  ingredient of cartilage – the ingredient that gives your cartilage its pliability.  Taken together, these supplements give your body the materials it needs to  create cartilage, much like the bricks and mortar that construction workers  need to build a wall. 
                   Scientific studies are still in the works on the  effectiveness of these supplements when it comes to the actual construction of  cartilage. Studies have indicated that these supplements can reduce pain  associated with cartilage deterioration, and can retard the deterioration  process. Since your body will naturally repair and replenish cartilage tissue,  just slowing the process somewhat is an important beginning. 
                  If  you’re worried about cartilage deterioration in your joints, the place to begin  is in your primary care physician’s office. There, you may receive a referral  to an orthopedist or a rheumatologist, depending on whether your pain is  related to an injury or to a rheumatic condition like arthritis. When you meet  with your specialist, talk about exercise and natural supplement based  therapies that will help you overcome the damage to your cartilage. 
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