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The honest answer, based on the available research, is that the effect is real and directionally consistent with the physiology, but modest under ordinary circumstances not the dramatic swing implied by many unsourced blog claims

Mice were maintained on a regular diet in a pathogen-free facility on a 12 h light/dark cycle with unlimited access to food and water

A more recent study of 52 older men (70-85 yr) treated with either GH or placebo for 6 months, without concomitant exercise, observed a significant increase (4.4%) in LBM with GH, but no significant effects on muscle strength (129)

This can be done at home or in a professional setting using devices or machines that massage the area

doi: 10.1038/s41401-022-01022-1