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Unlike peptides that work through hormonal signaling, BPC-157 appears to directly enhance tissue repair mechanisms at the cellular level

Nitric Oxide 1:373385 Szabo C, Zingarelli B, OConnor M, Salzman AL (1996) DNA strand breakage, activation of poly (ADP-ribose) synthetase, and cellular energy depletion are involved in the cytotoxicity of macrophages and smooth muscle cells exposed to peroxynitrite

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Due to its teratogenic effect and serious side effects, it is a medication that is only prescribed as a last resource