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What the Preclinical Research Suggests: Laboratory studies using animal models have examined several biological processes: Tendon and Ligament Processes: Rodent studies have demonstrated effects in Achilles tendon injury models, with treated animals showing differences compared to controls in controlled laboratory conditions

Sirtuin 1 (SIRT1) negatively regulates GH-induced IGF-1 production in the liver by directly inhibiting signal transducer and activator of transcription 5 (STAT5) activation, which causes GH resistance under prolonged fasting, starvation, and malnutrition [6]

Theoretical concerns include effects on tumor angiogenesis given VEGF upregulation in animal models