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BPC-157 acts primarily on the nitric oxide (NO) system , VEGF-mediated angiogenesis and gastric mucosal protection pathways central to vascular repair, tendon-to-bone healing, and gastrointestinal models

Important safety considerations include risks of acute pancreatitis (seek medical attention for severe abdominal pain with or without vomiting), gallbladder disease, dehydration, and potential worsening of diabetic retinopathy with rapid improvement in glucose control

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