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Direct muscle growth and strength Mechanisms: Increase protein synthesis in muscle cells Enhance amino acid uptake Stimulate satellite cell activation Promote muscle fiber hypertrophy Improve nutrient partitioning Peptides in this category: IGF-1 LR3 (most anabolic) Growth hormone secretagogues (CJC-1295, Ipamorelin) MGF (Mechano Growth Factor) Result: Bigger, stronger muscles that generate more force

Because Topiramate can cause dehydration and increase the risk of kidney stones, doctors may recommend drinking extra water during the day