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These are the mechanisms most often cited for its cosmetic use

doi: 10.1007/s00277-008-0465-0

The 5,200 masl (17,060 ft) altitude may cause discomfort if unacclimatized

Notably, studies on tendon fibroblasts revealed dose-dependent increases in growth hormone receptor expression, with up to sevenfold elevations observed by the third day of study
