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They looked at every paper they could find that tested BPC-157 for orthopedic issues, meaning bone and muscle stuff, which is where the main claims are

The D-amino acid substitution preserves the spatial orientation of amino acid side chains needed for competitive binding to the FOXO4-p53 interaction surface, maintaining biological activity despite the non-natural backbone (PMID: 28340339)

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Unravelling innervation of pancreatic islets

A blood test is initially carried out to determine a deficiency before a treatment plan is devised and implemented

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