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This could be from a fall onto an outstretched arm, a sudden pull when trying to lift a heavy object, or a direct impact like youd get in a car accident or a contact sport

This leaves the biceps virtually alone (it does get a little help from the brachial and brachioradialis) to resist three movements: long axis distraction of the humerus, humeral head elevation, and terminal elbow extension

Your provider should adjust your overall nutrition plan accordingly - Caffeine: Doesn't interact directly with peptides, but caffeine raises cortisol, which opposes GH