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For those, in-office microneedling with PRP, fractional laser resurfacing, or surgical scar revision are the appropriate referrals

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The anabolic signaling network governing skeletal muscle protein synthesis involves several interlocking peptide pathways: The GH/IGF-1 Axis: Growth hormone stimulates hepatic and peripheral production of IGF-1, which then binds to IGF-1 receptors on myocytes, activating the mTOR pathway and downstream protein synthesis cascades