"Growth hormone also has the ability to stimulate the production (or reproduction, in the case of an injury) of cartilage. This, however, requires the presence of a mediator substance, Somatomedin (IGF), which is released from the liver in response to HGH, and the IGF, in turn, actually promotes the growth of cartilage.(1)
Although it requires IGF to actually grow new cartilage, HGH is directly able to stimulate the elongation of bone tissue.(1), and HGH has also been shown to elicit a positive effects on erythropoeisis (9), which is great for both anabolism as well as endurance. "
So my question is this: Does the administration of HGH produce enough IGF to do the repair process on the cartilege, or is he saying you need to administer IGF supplement along with the HGH to get the repairing of cart???