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Here's how we know: Mechanistic research : No peptides have mechanisms comparable to anabolic steroids for driving muscle protein synthesis Clinical trials : Limited peptide research shows no compounds producing significant muscle growth Real-world feedback : Professional bodybuilders—whose livelihoods depend on maximizing muscle mass—aren't using peptides for this purpose When athletes whose careers depend on finding every possible edge aren't using something, that's the most telling evidence that it probably doesn't work

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On the other hand, there is evidence that spinal cord injury triggers a cascade of secondary degenerative events that cause further damage to the injured area and induce local inflammation along with hemorrhage and edema [12, 13] and that the therapeutic agents imatinib (which has been shown to inhibit cytokine production and reduce hemorrhage, edema, and inflammation) [14] and ibuprofen initiate favorable axonal growth and functional recovery through Rho inhibition [15]