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How smoking affects muscle growth Reduces protein synthesis: Slower muscle repair and growth Lowers testosterone: Less of the key hormone needed for muscle development Decreases oxygen supply: Weaker performance and endurance during workouts In short, smoking takes a toll on your ability to build muscle in multiple ways, making it much harder to see the gains you're working for

The experts also agreed that off-label use of adalimumab may be considered in paediatric cases (statement 38)

& Ohno, R

& Grinspon, R

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