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177 Hormones like estrogen and relaxin can alter the synthesis and degradation of collagen, affecting its density, cross-linking, and alignment

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246 Individuals with certain polymorphisms in ACTN3 may have reduced fast-twitch muscle function, impacting their ability to generate rapid and powerful muscle contractions needed to stabilize the knee during dynamic activities

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Heavy metal contamination, residual solvents, and other manufacturing impurities pose additional health risks unrelated to the peptides themselves