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It may be whether the tendon is still overloaded, whether the patient is under-recovering, whether strength work is appropriate, whether there is a partial tear, or whether another therapy should be considered first

GH/IGF-1 axis modulation: Preclinical research assessing how the blend influences growth hormone and insulin-like growth factor 1 (IGF-1) patterns in controlled endocrine models, without implying any therapeutic or performance outcomes

Cohen 2013

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A future pregnancy can stretch the skin and muscles again, which may reduce improvements from either procedure