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When muscle tissue experiences mechanical stress or damage, satellite cell activation is the first checkpoint in the repair cascade: the cell exits quiescence, proliferates, and eventually fuses with existing myofibers or forms new ones entirely

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Short-term effects (first 12 weeks) Injection-site irritation : redness, itching, or swelling Headaches or nausea : usually mild and temporary Fatigue or drowsiness : some people feel extra tired at the start Water retention or bloating : often resolves as your body adjusts Occasional but less common effects Joint stiffness or aches Tingling or numbness (paresthesia, often in the hands or feet) Increased appetite These usually fade as your body adapts, but if they linger, its worth checking in with your provider