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Nevertheless, the mechanism of this possible inverse relationship between MetS and free IGF-1 levels remains unclear

That single interaction has downstream effects across several healing pathways: it supports stem-cell migration to injury sites, promotes angiogenesis (like BPC-157, but through a different mechanism), and dampens inflammatory signaling during the repair phase

Chapin, K

Nebulised colistin for ventilator-associated pneumonia prevention

They're not snake oil, but neither are they proven muscle-builders for healthy adults