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Most evidence is from animal studies, but the consistency of results across 100+ studies and multiple tendon types is significant

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Lets look at the main factors to consider: Bioavailability Traditionally, injection has been considered the most efficient route of administering peptide drugs due to their instability and rapid degradation with oral, topical, and other delivery methods

rapid tissue penetration

doi:10.1017/S0033291721005407

It also activates SIRT1, aka the longevity gene, suggesting its essential role in anti-aging