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"How have your muscles and tendons felt?" Robertson asked

Journal of Orthopaedic Research , 24(7), 1421-1432.

Severe tendon cases, including Achilles and rotator cuff pathology, are often extended to 8 to 12 weeks

Emu oil can be used on top of this cream if you wish as a penetration enhancer and/or for extra hydration

At minimum: Outcomes Weight trend (weekly average) Waist circumference Body composition if available (DEXA, BIA with consistency) Strength markers (basic lifts, grip strength, functional tests) Safety Blood pressure + resting HR A1c and fasting glucose (more often if diabetes) CMP (liver/kidney) Lipids (periodic) If manipulating GH/IGF-1 signaling: IGF-1 (and clinical context matters) Stop criteria Persistent tachycardia, edema, severe fatigue, worsening glycemia, abnormal labs, or new symptoms you cant explain The what to ask your clinic questions (high signal, low fluff) If a clinic recommends a peptide stack, ask: What is the problem were solving, in one sentence

This discomfort could mean the initial numbing procedure wasnt fully successful, the patient is experiencing the sensation of touch, or ideally, the patient may not have waited long enough for the anesthetic to take full effect (usually this takes about 10-15 minutes)