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Why This Stack Matters Specifically for Shoulder Surgery Recovery Shoulder surgery — whether rotator cuff repair or arthroplasty — creates several overlapping recovery demands: Tendon and soft tissue healing at the repair site Muscle recovery from pre-surgical atrophy (rotator cuff tears, particularly massive tears, cause significant muscle loss before surgery even occurs) Bone remodeling around anchors (cuff repair) or implant components (arthroplasty) Systemic anabolic support to counteract the catabolic stress response to surgery ‍ IGF-1, the primary downstream mediator of CJC-1295/ipamorelin's effects, has documented roles in all four of these processes

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