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Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al

The peptide appears to activate genes associated with tissue remodeling while suppressing genes linked to inflammation and tissue breakdown

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Another study published in Sports in 2023 tested the effects of 8 grams of L-Citrulline on resistance exercise performance

Remodelling Begins Stimulates collagen synthesis, fibroblast proliferation, and MMP regulation - rebalancing tissue architecture and promoting structural repair

Because you have both metabolic medicine expertise and bariatric surgical experience, you can evaluate plateaus through a wider lens than non-specialized providers