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It exerts its effects through two primary pathways: direct binding to the GH receptor (GHR) on target tissues producing immediate metabolic effects including lipolysis, insulin antagonism, and protein synthesis and indirect stimulation of IGF-1 production in the liver and peripheral tissues, which mediates the majority of GHs anabolic and growth-promoting effects

This means even abdominal injections can support elbow healing, though local injections likely deliver faster and more pronounced local effects

Cells 3:363385 Ji Y, Chen S, Li K, Xiao X, Xu T, Zheng S (2014) Upregulated autocrine vascular endothelial growth factor (VEGF)/VEGF receptor-2 loop prevents apoptosis in haemangioma-derived endothelial cells

Many of our patients use BPC-157 as the "foundation" peptide and add others for specific goals