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Mechanisms of Muscle Hypertrophy IGF-1 DES promotes muscle growth through potent activation of IGF-1 receptors on muscle cells, triggering PI3K/Akt/mTOR pathways mediating protein synthesis, increased amino acid and glucose uptake into myocytes, satellite cell activation and proliferation, inhibition of protein degradation (anti-catabolic effects), and enhanced muscle fiber hypertrophy

This suggests that long-term or potentially indefinite use may be necessary for sustained results

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