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GHK-Cu also influences the ubiquitin-proteasome system (UPS), upregulating dozens of genes involved in protein degradation and cellular maintenance, thereby supporting proteostasis under stress conditions (Pickart and Margolina 2018)
This broader evaluation is especially important when patients describe slow healing, fatigue, recurrent injuries, or persistent inflammation
Someone with a 2-year history of tennis elbow should not expect the same rapid response as someone treating a fresh overuse injury
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