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Angiogenesis Promotes new blood vessel formation in damaged tissue by stimulating VEGF expression, creating vascular networks that deliver healing resources to the injury site

Thats redundant and potentially counterproductive exogenous GH suppresses your pituitarys natural output, which is the exact mechanism tesamorelin relies on

Furthermore, the extent of such side effects depends on the desired dosage

USA 107 , 1130711312 (2010)