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Which one fits you is a clinical decision made with your provider

IGF-I signaling in skeletal cell-cell interactions In addition to their interactions through hormonal factors, like osteoblastic M-CSF, which activates c-fms in osteoclasts, osteoblasts, osteoclasts and chondrocytes, can also communicate with each other through physical interactions using their cell-surface ligands and receptors

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Let's settle this with actual info about how each works, what they do, and which makes sense for your goals

It works through growth hormone pathways, not sex hormone production