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Zhuang Y, Yang X, Li Y, Chen Y, Peng X, Yu L, et al

The physiology of PBH is not yet fully understood, but seems to be explained by the high levels of insulin and glucagon-like peptide 1 (GLP-1) that occur after metabolic surgery

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The World Anti-Doping Agency (WADA) classifies it under section S2 of its Prohibited List, the section that covers peptide hormones, growth factors, and growth hormone secretagogues [1]

BPC-157 is further shown to have powerful anti-inflammatory effects throughout the GI tract and systemically, lending it potential in the treatment of inflammatory and metabolic diseases [2, 3, 4, 5, 6]

This approach would help distinguish direct drug-associated microbial effects from changes secondary to weight loss, dietary modification, delayed gastric emptying, or improved glycemic control