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He'll tell you it's one part medical expertise, one part art

In particular, Witschi et al

The needle breaks up the contracted sarcomeres (the smallest contractile units of muscle fiber), interrupts the abnormal acetylcholine feedback loop, and creates a local microtrauma that stimulates a healing response

Improved lipid profile: Tesamorelin may help reduce triglycerides and LDL cholesterol

They can also be stored frozen
