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What builds muscle is the fusing of "satellite" cells to the muscle fibers. When those cells fuse, they provide nuclei for the growth of the fibers. Different stimuli can cause the cells to move to and fuse with the fibers, such as insulin, growth hormones, and testosterone.

When muscle fiber is damaged, growth hormones may stimulate the satellite cells to go to the point of injury and fuse to the fibers, which may result in increased muscle mass. But, it certainly is questionable as to whether the "no pain, no gain" mantra or the injection/ingestion of growth hormones or of testosterone is wise for the building of muscle mass.

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12y ago

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