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Orthopaedic Sports Medicine Systematic Review (PMC, 2024) A systematic review of BPC-157 in orthopaedic sports medicine conducted via searches of PubMed, Cochrane, and Embase from inception to June 2024 confirmed pre-clinical evidence across fractures, tendon ruptures, ligament tears, and muscle injuries, documenting BPC-157s ability to modulate growth factor expression and enhance fibroblast migration to injury sites across all studied tissue types
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Similarly, although hepatic dysfunction can occur with large niacin doses (1-3 grams daily over months) causing elevated liver enzymes or jaundice, niacinamide at 100 mg is very unlikely to have any adverse effect on the liver
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