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Both reasons are valid but the approach, expectations, and oversight should differ accordingly

It upregulates genes involved in collagen synthesis (COL1A1, COL3A1, COL5A1), extracellular matrix remodeling (decorin, fibromodulin), and antioxidant defense (superoxide dismutase, glutathione peroxidase) while simultaneously suppressing genes associated with inflammation (IL-6, TNF-alpha), fibrinogen production, and tissue destruction (several MMPs)

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Tesamorelin works by stimulating growth hormone production

This might manifest as a subtle lift in energy, less profound tiredness, or an easing of brain fog