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Actions that involve force away from the shoulder, like hitting a hammer or using a racquet, can also lead to shoulder joint issues

Mitchell KG, Diao L, Karpinets T, Negrao MV, Tran HT, Parra ER, Corsini EM, Reuben A, Federico L, Bernatchez C, Dejima H, Francisco-Cruz A, Wang J, Antonoff MB , Vaporciyan AA, Swisher SG, Cascone T, Wistuba II, Heymach JV, Gibbons DL, Zhang J, Haymaker CL, Sepesi B

10.1038/s41598-021-97162-1 38 FinelliR.LeisegangK.KandilH.AgarwalA

Growth hormone and IGF-1 are also fundamental in skeletal growth during puberty

This is a one-time-only, irrevocable exit window that requires spousal concurrence