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Growth hormone secretagogues: Systemic support Indirect bone and cartilage effects: Growth hormone peptides like Ipamorelin , CJC-1295 , and MK-677 don't directly heal tissues but create anabolic hormonal environment supporting repair

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If no improvement and you have risk factors for malabsorption, trial MIC B12 injections for 8 weeks

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Selank overlaps here as well, with research into its effects on anxiety and cognitive function