Mature oak (30 ft clear trunk, 3 ft base) has sprouts along trunk, not at base. Some upper branches died years ago after nearby construction; crown now healthy. Prune sprouts?
Oak bark contains dormant buds. When canopy thinning or pruning exposes trunk to light, buds activate. It's a sign of vigor, not decline.
Crown health is the true indicator. If foliage is green and full, the tree is fine.
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