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The scar tissue also called a plaque forms inside the tunica albuginea tissue (a thick, elastic membrane primarily made of collagen and elastin)

In some cases, instead of drilling holes, the surgeon may use tiny implants called suture anchors

Side Effects & Safety No lethal dose found -- toxicology studies couldn't establish an LD50 (Sikiric et al., 2006) No organ toxicity in chronic dosing No hormonal effects -- doesn't affect testosterone, estrogen, cortisol, or GH Mild nausea -- mostly with oral dosing Brief lightheadedness -- occasionally after injection Injection site redness -- standard for SC peptides Angiogenesis concern -- promotes new blood vessel growth, which raises a theoretical question about existing tumors

In conclusion, a comprehensive approach that integrates hormonal considerations, muscle strength balancing, neuromuscular training, molecular biology insights, and advanced technology can significantly enhance the rehabilitation of ACL injuries