Muscle hypertrophy is an increase in muscle size through growth of muscle cells. There are two types: sarcoplasmic hypertrophy which increases fluid volume but not strength, and myofibrillar hypertrophy which increases contractile proteins and adds strength. Factors that cause hypertrophy include microtrauma, muscle recruitment, nutrition, mitochondria, myoglobin, growth hormones, gender, and genetic responses. Older age decreases healing and immunization while greater microtrauma and recruitment lead to more growth. Increased protein intake and mitochondria provide more energy for growth. Males tend to have more due to hormones like testosterone. Contraction of contractile proteins may also promote hypertrophy but the mechanisms are still