Metabolic Management
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December 24, 2024

BPC 157: Science-Backed Uses, Benefits, Dosage, and Safety

Written By
Dr. Sarah Daglis ND
Medically Reviewed by
Updated On
January 7, 2025

The human body makes over 7,000 natural peptides vital for biological functions. Peptides are short chains of amino acids, the "building blocks" of more complex proteins

From transmitting nerve signals, regulating hormones, supporting immunity, and combating infections, peptides are essential to life.

Among these versatile compounds, BPC 157 has gained attention for its potential in supporting healing, recovery, and the body’s inflammatory response. 

This peptide is derived from a naturally occurring protein in human gastric juice, Body Protection Compound (BPC), which helps protect and repair tissues.

While the original protein exists in the stomach, the 15-amino acid fragment that comprises BPC 157 does not occur naturally. Scientists have synthesized this fragment in the lab, rendering it a synthetic peptide. It is designed to be more stable and usable for therapeutic purposes.

This article provides an overview of BPC 157, including its origins, potential uses, areas of ongoing research, possible side effects, general dosing considerations, and how it compares to other peptides.

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What is BPC 157?

BPC 157, also known as Bepecin, PL 14736, and PL10, is a pentadecapeptide (15 amino acids long). It was first described in the scientific literature in 1993 by Sikirić and colleagues.

The peptide is derived from the larger body protection compound (BPC) found in human gastric juice, which has protective properties related to the gastrointestinal tract.

Molecular Structure

The amino acid sequence of BPC 157 is:

Gly-Glu-Pro-Pro-Pro-Gly-Lys-Pro-Ala-Asp-Asp-Ala-Gly-Leu-Val

This peptide is chemically stable, making BPC 157 resistant to enzymatic degradation. It can retain its biological activity even in harsh conditions, such as during digestion or enzymatic reactions.

BPC 157's potential uses are still under investigation, and extensive human studies are needed to confirm its safety and efficacy.

Proposed Mechanisms of Action

BPC 157 may promote healing and exert protective effects through several proposed mechanisms.

  • Tissue repair: It has been suggested that it aids in the regeneration of damaged tissues, including tendons, ligaments, muscles, and bone.
  • Anti-inflammatory potential: Research suggests it may support the body’s natural inflammatory response, which is critical for tissue healing and pain management.
  • Growth factor upregulation: BPC 157 may stimulate the production of growth factors involved in tissue repair and regeneration.
  • Proangiogenic effects: BPC 157 may also promote angiogenesis (new blood vessel formation). This is crucial in wound healing, as improved blood flow supports tissue regeneration by delivering oxygen and nutrients to the damaged area.
  • Nitric oxide (NO) modulation: It is thought to influence nitric oxide pathways, which are essential for vascular function, blood flow, and tissue healing.
  • Collagen and Bone Morphogenetic Proteins (BMPs): Preliminary research indicates that BPC 157 may influence the activity of collagen fragments associated with bone morphogenetic proteins (BMPs), which are important for the formation and remodeling of tissues such as bone and cartilage.

While preliminary studies are promising, further human research is needed to confirm these mechanisms.

How Does BPC 157 Work? Science and Benefits

Research suggests BPC 157 may have potential benefits in various bodily systems.

Tissue Healing and Repair

BPC 157 is most well-known for its proposed tissue healing properties, including tendons, ligaments, muscles, and bones, by the following mechanisms:

  • Impacting growth factors: It may activate the JAK2 signaling pathway and increase growth hormone receptor activity, particularly in tendon cells, enhancing their ability to respond to growth hormone.
  • Promoting collagen formation: This peptide may enhance collagen formation and support fibroblast activity, critical factors in tissue regeneration, through pathways like FAK-paxillin.
  • Accelerating recovery: Animal studies suggest faster healing, reduced recovery times, and improved functional outcomes after injuries.

These properties make BPC 157 popular in sports medicine and rehabilitation for supporting recovery from injuries or surgery. However, these findings are based on preclinical studies, and the effectiveness of BPC 157 in humans is still under investigation.

Effects on Inflammatory Pathways

Several animal studies have demonstrated BPC 157's potential to modulate inflammatory pathways and support recovery, suggesting it could be a valuable therapeutic agent in managing acute and chronic inflammation.

Research supports:

This dual action of supporting inflammation regulation and potentially alleviating pain highlights its potential as a versatile therapeutic agent.

Blood Vessel Repair and Angiogenesis

BPC 157 may promote vascular health and blood vessel repair by:

  • Enhancing nitric oxide (NO) production: It has been suggested that it supports endothelial nitric oxide synthase (eNOS), improving blood flow and vascular integrity.
  • Promoting angiogenesis: It may activate pathways like VEGFR2-Akt-eNOS, encouraging new blood vessel formation (angiogenesis) to repair damaged tissues.
  • Protecting endothelial cells: By reducing oxidative stress, it may support overall vascular health.

One study indicated that BPC 157 increased blood vessel formation and vascular endothelial growth factor receptor 2 (VEGFR2) expression, helping bypass blockages in damaged vessels. These effects may be relevant for conditions like heart attack, thrombosis, and other cardiovascular issues. 

Despite its therapeutic promise, more studies are needed to confirm its efficacy and safety for clinical use.

Gut Health

BPC 157 is suggested to have protective effects on gastrointestinal tissues. It has demonstrated oral stability in gastric juice and efficacy even at microgram or nanogram doses.

It may support the repair of ulcers and mitigate damage caused by non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin and diclofenac.

Unlike traditional anti-ulcer drugs like cimetidine or famotidine, BPC 157 demonstrates consistent protective effects against various causes of mucosal injury, such as stress or alcohol consumption.

It has shown potential for supporting the management of chronic gastrointestinal conditions, such as inflammatory bowel diseases (IBD), including ulcerative colitis (UC).

Neuroprotective Effects

BPC 157 offers several possible benefits for brain and neurological health:

These neuroprotective effects position BPC 157 as a potential supportive therapy for CNS disorders and brain injuries.

Limitations of Current Research

Despite promising research demonstrating the potential benefits of BPC 157, several limitations exist.

  • Different research methods: Not all studies examined tissues with the same level of detail, which can affect results. Some focus on small-scale microscopic details, while others examine larger-scale tissue healing.
  • Animal vs. human research: Most research has been conducted in rodents and small mammals, so it is not yet clear how these findings may translate to humans. Human trials are needed.
  • Limited research on side effects: Few studies have explored BPC 157's potential negative effects, and its full range of effects is not well understood.
  • Small number of research groups: A limited number of research groups have conducted most studies, which may affect the generalizability of the results.
  • Mechanisms of action: Further research is needed to better understand how BPC 157 works and its potential role in supporting healing throughout the body.

Potential Side Effects, Safety Profile, and Regulatory Status of BPC 157

In preclinical studies, BPC 157 caused mild local irritation at the site of administration, which was the most commonly reported side effect but did not appear to lead to long-term issues.

Most sources report that BPC 157 is well tolerated and does not cause severe animal toxicity, although long-term human studies are still necessary.

Regulatory Status and Legality

The U.S. Food and Drug Administration (FDA) has stated that compounded drugs containing BPC 157 may cause immune system reactions, with insufficient data to assess its human safety. 

Peptide impurities and the characterization of active ingredients also pose challenges. The FDA concludes that more information is needed to determine potential harm. 

The World Anti-Doping Agency (WADA) classifies BPC 157 as a non-approved substance, prohibiting its use in sports. 

BPC 157 has not been approved for human therapeutic use by major regulatory bodies like the FDA or the U.S. Anti-Doping Agency (USADA). It remains a research chemical, and its use in humans is primarily limited to clinical studies, though it is not universally banned.

Recommended Dosage and Administration of BPC 157

Due to the lack of FDA approval and established dosing guidelines, the information presented is based on anecdotal reports. Always consult with a healthcare provider before considering peptide therapy.

Administration Methods

  • Injection: Subcutaneous or intramuscular injections, typically near the site of injury or inflammation, provide quicker delivery to the affected area.
  • Oral: Oral forms are available as capsules or powder. Although the peptide is reported to be stable in gastric juice, its bioavailability may be lower with this route. However, it may be the most effective method for promoting healing in gastrointestinal tissues.

Dosage Ranges

  • Injection dosing is typically based on body weight, ranging from 150-375 micrograms (mcg) twice daily.
  • Oral doses generally range from 100 to 500 mcg, taken 1-2 times daily for injury recovery, inflammation management, and general healing.
  • Some practitioners suggest cycling, with a 6-12 week usage period followed by a 4-8 week break between cycles.

Safety Tips

  • Always consult with a healthcare professional before considering peptide therapy.
  • Be mindful of potential side effects and discontinue use if they occur.
  • Start with a low dose to assess the impact and any adverse events.
  • Use sterile needles for injections.

Given the lack of clinical approval and standardized dosing guidelines for BPC 157 in humans, its use outside of a research setting should be cautiously approached. 

Clinical trials are necessary to establish its safety, efficacy, and appropriate human dosing.

Comparison: BPC 157 vs. Other Peptides

BPC 157 isn't the only peptide that has recently garnered attention. Other therapeutic peptides like TB-500 and ipamorelin have also been subjects of interest.

BPC-157 vs. TB-500

BPC-157 and TB-500 are both recognized for their potential in tissue repair and inflammation modulation, but they differ in their origins and mechanisms.

BPC-157 may enhance fibroblast activity, support collagen synthesis, influence angiogenesis, and upregulate skeletal muscle protein synthesis, making it effective for healing musculoskeletal injuries. It is also utilized in gastrointestinal repair.

TB-500, a synthetic derivative of thymosin β4, promotes progenitor cell differentiation and angiogenesis, supporting vascular growth and tissue repair.

These peptides are often combined for their synergistic effects, particularly in addressing connective tissue and joint injuries.

BPC-157 vs. Ipamorelin 

Unlike BPC-157 and TB-500, which target local tissue repair, ipamorelin stimulates growth hormone (GH) release via the pituitary gland.

This mechanism may enhance muscle growth, improve metabolism, and promote fat loss. Ipamorelin is notable for its specificity in GH release, avoiding unwanted side effects such as cortisol elevation, which is common with other GH secretagogues.

All three peptides show promising results in preclinical and early clinical studies, but further research is needed to confirm their long-term safety and efficacy. 

The clinical use of BPC 157 remains unapproved by regulatory bodies.

How to Buy BPC 157: Legalities, Sources, and Quality Control

The FDA does not approve BPC 157 for any medical use. It is considered an experimental peptide and is marketed as a research chemical.

Legalities

Its legal status varies by country. In the United States, it is available for purchase online, but regulatory authorities do not sanction its use in humans.

Sources

BPC 157 is commonly sourced from online vendors, many operating outside regulated pharmaceutical channels. These vendors often market BPC 157 as a research chemical, and the product is typically synthesized in laboratories.

The lack of regulation in these markets raises concerns about the authenticity and purity of the peptide.

Quality Control

Quality control for BPC 157 is a significant concern due to its unregulated status. Studies suggest that peptides purchased from online sources can have substantial impurities and contaminants.

The American Medical Society for Sports Medicine (AMSSM) emphasizes the importance of quality control in regenerative medicine, noting that lack of precise control and biological characterization can impede clinical outcomes and pose safety risks.

Notably, some practitioners are utilizing compounding pharmacies to obtain BPC-157. Since compounding pharmacies are regulated by state boards rather than the FDA, they can produce BPC-157 despite its unapproved status and associated quality control concerns.

To mitigate potential risks, it is critical to ensure the pharmacy's reputability and adherence to stringent compounding standards.

Real-Life Cases on BPC 157 Usage

A few small human studies on BPC 157 have yielded positive results, but more extensive clinical research is warranted.

Knee Pain

A retrospective study conducted at the Institute for Hormonal Balance in Orlando, Florida, evaluated the effects of intra-articular injections of BPC 157 on various types of knee pain in 16 participants. 

Of the 12 patients who received only BPC 157, 91.6% reported significant improvement in knee pain, suggesting BPC 157 may help relieve multiple types of knee pain.

Interstitial Cystitis

A pilot study assessed the safety and efficacy of BPC 157 for interstitial cystitis in 12 women who had not responded to conventional therapies. 

The patients received intravenous injections of BPC 157. Ten of the 12 patients reported complete resolution of symptoms, with the remaining two experiencing an 80% reduction in symptoms. No adverse events were reported.

These studies provide preliminary evidence of BPC 157's potential benefits in various pathologies; however, larger, controlled clinical trials are necessary to validate these findings and establish standardized treatment protocols.

Frequently Asked Questions (FAQs) About BPC 157

Here are some frequently asked questions about BPC 157.

Can BPC 157 be combined with other peptides or supplements?

Some practitioners combine peptides, such as BPC 157 and TB-500, for potential synergistic effects. However, the use of therapeutic peptides should always be considered under the guidance of a healthcare professional.

How long does it take for BPC 157 to show effects?

Users typically notice improvements within days to weeks, depending on the condition.

Is it safe for long-term use?

While animal studies suggest safety, long-term human studies are lacking.

What should users avoid while using BPC 157?

Avoid combining with NSAIDs, which may counteract its healing effects.

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Key Takeaways

  • BPC 157 has shown promise in various medical contexts, including promoting tissue healing, managing inflammation, and supporting gut health. 
  • The FDA does not approve BPC 157 for human use, and its safety and efficacy have not been established through large-scale clinical trials. As a result, it should be used with caution.
  • When considering BPC 157, it is critical to consult with a healthcare provider to ensure its appropriateness for individual needs.
  • Ongoing research is essential to understanding the full scope of BPC 157's efficacy and safety, and keeping up with new findings can help you make informed decisions about its use.
The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

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Anderson, S. (2022, May 19). 6 Preventable Risk Factors Associated With Heart Attacks. Rupa Health. https://www.rupahealth.com/post/5-things-to-do-after-a-heart-attack

Arif, H., & Aggarwal, S. (2023, July 5). Salicylic acid (aspirin). NIH; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK519032/

Arthritis Foundation. (n.d.). Analgesics | Arthritis Foundation. Www.arthritis.org. https://www.arthritis.org/drug-guide/analgesics/analgesics

Barman, P., Joshi, S., Sharma, S., Simran Preet, Sharma, S., & Saini, A. (2023). Strategic Approaches to Improvise Peptide Drugs as Next Generation Therapeutics. International Journal of Peptide Research and Therapeutics, 29(4). https://doi.org/10.1007/s10989-023-10524-3

Brinkman, J. E., & Sharma, S. (2023, May 1). Physiology, growth hormone. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK482141/

Carter-Su, C., Schwartz, J., & Argetsinger, L. S. (2016). Growth hormone signaling pathways. Growth Hormone & IGF Research, 28, 11–15. https://doi.org/10.1016/j.ghir.2015.09.002

Cerovecki, T., Bojanic, I., Brcic, L., Radic, B., Vukoja, I., Seiwerth, S., & Sikiric, P. (2010). Pentadecapeptide BPC 157 (PL 14736) improves ligament healing in the rat. Journal of Orthopaedic Research, 28(9), 1155–1161. https://doi.org/10.1002/jor.21107

Chang, C.-H., Tsai, W.-C., Hsu, Y.-H., & Su Pang, J.-H. (2014). Pentadecapeptide BPC 157 Enhances the Growth Hormone Receptor Expression in Tendon Fibroblasts. Molecules, 19(11), 19066–19077. https://doi.org/10.3390/molecules191119066

Chang, C.-H., Tsai, W.-C., Lin, M.-S., Hsu, Y.-H., & Pang, J.-H. S. (2011). The promoting effect of pentadecapeptide BPC 157 on tendon healing involves tendon outgrowth, cell survival, and cell migration. Journal of Applied Physiology (Bethesda, Md.: 1985), 110(3), 774–780. https://doi.org/10.1152/japplphysiol.00945.2010

Christie, J. (2024, May 17). How to Spot the Top Warning Signs of a Stroke. Rupa Health. https://www.rupahealth.com/post/how-to-spot-the-top-warning-signs-of-a-stroke

Cleveland Clinic. (2022a, September 21). What is Angiogenesis? Cleveland Clinic. https://my.clevelandclinic.org/health/articles/24206-angiogenesis

Cleveland Clinic. (2022b, October 7). What is the Endothelium? Cleveland Clinic. https://my.clevelandclinic.org/health/body/23471-endothelium

Cleveland Clinic. (2023, October 2). Encephalopathy. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/encephalopathy

Clinic, C. (2024, July 10). Nociceptive Pain: What It Is, Causes, Treatment & Types. Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/nociceptive-pain

Cloyd, J. (2022a, August 17). An Integrative Medicine Approach to Rheumatology. Rupa Health. https://www.rupahealth.com/post/6-common-types-of-arthritis

Cloyd, J. (2022b, December 8). Inflammatory Bowel Disease: Treatments for IBD Flares and Remission. Rupa Health. https://www.rupahealth.com/post/inflammatory-bowel-disease-ibd-treatments-for-flares-and-remission

Cloyd, J. (2023a, March 6). The Microbiome-Joint Axis: Exploring the Gut's Influence on Joint Pain. Rupa Health. https://www.rupahealth.com/post/the-guts-role-in-joint-inflammation

Cloyd, J. (2023b, March 29). An Integrative Medicine Guide to Ulcerative Colitis. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-guide-to-ulcerative-colitis

Cloyd, J. (2023c, April 27). Unlocking the Health Benefits of Nitric Oxide: How This Molecule Supports Cardiovascular Health, Exercise Performance, and More. Rupa Health. https://www.rupahealth.com/post/nitric-oxide

Cloyd, J. (2023d, May 24). What are digestive enzymes: How to test your patients levels. Rupa Health. https://www.rupahealth.com/post/what-are-digestive-enzymes-how-to-test-your-patients-levels

Cloyd, J. (2023e, July 26). A Functional Medicine Interstitial Cystitis Protocol: Testing, Nutrition, and Supplements. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-interstitial-cystitis-protocol-testing-nutrition-and-supplements

Cloyd, J. (2023f, December 15). How to Interpret a Neurotransmitter Test. Rupa Health. https://www.rupahealth.com/post/how-to-interpret-a-neurotransmitter-test

Comparison between Stem Cell and Progenitor Cell. (n.d.). Www.clinmedjournals.org. https://www.clinmedjournals.org/articles/ijscrt/ijscrt-5-053-table1.html

Cooper, G. M. (2000). The Central Role of Enzymes as Biological Catalysts. National Library of Medicine; Sinauer Associates. https://www.ncbi.nlm.nih.gov/books/NBK9921/

Daglis, S. (2024a, March 19). What Are the Benefits of Collagen Peptides? Rupa Health. https://www.rupahealth.com/post/what-are-the-benefits-of-collagen-peptides

Daglis, S. (2024b, August 23). The Synergy Between Compounding Pharmacy and Functional Medicine for Optimal Health. Rupa Health. https://www.rupahealth.com/post/the-synergy-between-compounding-pharmacy-and-functional-medicine-for-optimal-health

Daglis, S. (Ed.). (2024c, September 3). How Videogames Are Boosting Mental Health in Schizophrenia Patients. Rupa Health. https://www.rupahealth.com/post/how-videogames-are-boosting-mental-health-in-schizophrenia-patients

DeFoor, M. T., & Dekker, T. J. (2024). Injectable therapeutic peptides–an adjunct to regenerative medicine and sports performance? Arthroscopy the Journal of Arthroscopic and Related Surgery. https://doi.org/10.1016/j.arthro.2024.09.005

Department of Justice/ Drug Enforcement Administration. (2020). WHAT IS MORPHINE? https://www.dea.gov/sites/default/files/2020-06/Morphine-2020.pdf

Félétou, M. (2011). Multiple Functions of the Endothelial Cells. In www.ncbi.nlm.nih.gov. Morgan & Claypool Life Sciences. https://www.ncbi.nlm.nih.gov/books/NBK57148/

Forbes, J., & Krishnamurthy, K. (2023, August 28). Biochemistry, Peptide. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK562260/

Goldstein, A. L., Hannappel, E., Sosne, G., & Kleinman, H. K. (2011). Thymosin β4: a multi-functional regenerative peptide. Basic properties and clinical applications. Expert Opinion on Biological Therapy, 12(1), 37–51. https://doi.org/10.1517/14712598.2012.634793

Gwyer, D., Wragg, N. M., & Wilson, S. L. (2019). Gastric pentadecapeptide body protection compound BPC 157 and its role in accelerating musculoskeletal soft tissue healing. Cell and Tissue Research, 377(2), 153–159. https://doi.org/10.1007/s00441-019-03016-8

Hsieh, M.-J., Liu, H.-T., Wang, C.-N., Huang, H.-Y., Lin, Y., Ko, Y.-S., Wang, J.-S., Chang, V. H.-S., & Pang, J.-H. S. (2016). Therapeutic potential of pro-angiogenic BPC157 is associated with VEGFR2 activation and up-regulation. Journal of Molecular Medicine, 95(3), 323–333. https://doi.org/10.1007/s00109-016-1488-y

Jakša Vukojević, Borna Vrdoljak, Dominik Malekinušić, Marko Siroglavić, Marija Milavić, Kolenc, D., Alenka Boban Blagaić, Lovorka Batelja, Domagoj Drmić, Sven Seiverth, & Predrag Sikirić. (2020). The effect of pentadecapeptide BPC 157 on hippocampal ischemia/reperfusion injuries in rats. Brain and Behavior, 10(8). https://doi.org/10.1002/brb3.1726

Jakša Vukojević, Marija Milavić, Darko Perović, Spomenko Ilić, Andrea Zemba Čilić, Nataša Đuran, Sanja Štrbe, Zoran Zoričić, Igor Filipčić, Petrana Brečić, Sven Seiverth, & Predrag Sikirić. (2022). Pentadecapeptide BPC 157 and the central nervous system. Neural Regeneration Research, 17(3), 482–482. https://doi.org/10.4103/1673-5374.320969

Janvier, S., Cheyns, K., Canfyn, M., Goscinny, S., De Spiegeleer, B., Vanhee, C., & Deconinck, E. (2018). Impurity profiling of the most frequently encountered falsified polypeptide drugs on the Belgian market. Talanta, 188, 795–807. https://doi.org/10.1016/j.talanta.2018.06.023

Jung, Y.-H., Kim, H., Kim, H., Kim, E., Baik, J., & Kang, H. (2022). The anti-nociceptive effect of BPC-157 on the incisional pain model in rats. Journal of Dental Anesthesia and Pain Medicine, 22(2), 97. https://doi.org/10.17245/jdapm.2022.22.2.97

Katagiri, T., & Watabe, T. (2016). Bone Morphogenetic Proteins. Cold Spring Harbor Perspectives in Biology, 8(6), a021899. https://doi.org/10.1101/cshperspect.a021899

Khakham, C. (2023a, May 8). An Integrative and Functional Medicine Approach to Blood Clotting Disorders. Rupa Health. https://www.rupahealth.com/post/an-integrative-and-functional-medicine-approach-to-blood-clotting-disorders

Khakham, C. (2023b, August 17). A Root Cause Medicine Approach: A Comprehensive Guide On How To Test For Low Nitric Oxide Levels. Rupa Health. https://www.rupahealth.com/post/a-root-cause-medicine-approach-a-comprehensive-guide-on-how-to-test-for-low-nitric-oxide-levels

Khot, S., Tackley, G., & Choy, E. (2024). How to Distinguish Non-Inflammatory from Inflammatory Pain in RA? Current Rheumatology Reports, 26(12), 403–413. https://doi.org/10.1007/s11926-024-01159-4

LaPelusa, A., & Kaushik, R. (2022, November 14). Physiology, Proteins. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK555990/

Lee, E., & Padgett, B. (2021). Intra-Articular Injection of BPC 157 for Multiple Types of Knee Pain. Alternative Therapies in Health and Medicine, 27(4), 8–13. https://pubmed.ncbi.nlm.nih.gov/34324435/

Lee, E., Walker, C., & Ayadi, B. (2024). Effect of BPC-157 on Symptoms in Patients with Interstitial Cystitis: A Pilot Study. Alternative Therapies in Health and Medicine, 30(10), 12–17. https://pubmed.ncbi.nlm.nih.gov/39325560/

Linarelli, L. (2024, February 6). The Impact of Regenerative Medicine on Sports Injuries. Rupa Health. https://www.rupahealth.com/post/the-impact-of-regenerative-medicine-on-sports-injuries

MedlinePlus. (2017). Amino acids: MedlinePlus Medical Encyclopedia. Medlineplus.gov. https://medlineplus.gov/ency/article/002222.htm

National Institute of Neurological Disorders and Stroke. (2024, October 15). Traumatic brain injury (TBI). Www.ninds.nih.gov; National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/health-information/disorders/traumatic-brain-injury-tbi

Nguyen, K., Dersnah, G. D., & Ahlawat, R. (2022, July 11). Famotidine. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK534778/

Pergolizzi, J. V., Labhsetwar, S., & LeQuang, J. A. (2013). Compounding Pharmacies: Who is in Charge? Pain Practice, 13(3), 253–257. https://doi.org/10.1111/papr.12033

Pino, M. A., & Azer, S. A. (2023, March 6). Cimetidine. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK544255/

Predrag Sikirić, Sven Seiwerth, Ručman, R., Branko Turković, Dinko Stančić Rokotov, Luka Brčić, Sever, M., Kliček, R., Božo Radić, Domagoj Drmić, Spomenko Ilić, Kolenc, D., Gorana Aralica, Safic, H., Jelena Šuran, Rak, D., Senka Džidić, Hrvoje Vrčić, & Božidar Šebečić. (2012). Toxicity by NSAIDs. Counteraction by Stable Gastric Pentadecapeptide BPC 157. Current Pharmaceutical Design, 19(1), 76–83. https://doi.org/10.2174/13816128130111

Predrag Sikiric, Sven Seiwerth, Zeljko Grabarevic, Petek, M., Rucman, R., Turkovic, B., Ivo Rotkvic, Vjekoslav Jagic, Duvnjak, M., Mise, S., Sanja Djacic, Jadranka Separovic, Marija Veljaca, Ahmet Sallmani, Banic, M., & Brkic, T. (1994). The beneficial effect of BPC 157, a 15 amino acid peptide BPC fragment, on gastric and duodenal lesions induced by restraint stress, cysteamine and 96% ethanol in rats. A comparative study with H2 receptor antagonists, dopamine promotors and gut peptides. Life Sciences, 54(5), PL63–PL68. https://doi.org/10.1016/0024-3205(94)00796-9

Preston, J. (2023, September 22). Addressing Inflammation in Chronic Diseases: A Functional Medicine Perspective. Rupa Health. https://www.rupahealth.com/post/addressing-inflammation-in-chronic-diseases-a-functional-medicine-perspective

Raun, K., Hansen, B., Johansen, N., Thogersen, H., Madsen, K., Ankersen, M., & Andersen, P. (1998). Ipamorelin, the first selective growth hormone secretagogue. European Journal of Endocrinology, 139(5), 552–561. https://doi.org/10.1530/eje.0.1390552

Rich, D. S., Fricker, M. P., Cohen, M. R., & Levine, S. R. (2013). Guidelines for the Safe Preparation of Sterile Compounds: Results of the ISMP Sterile Preparation Compounding Safety Summit of October 2011. Hospital Pharmacy, 48(4), 282–301. https://doi.org/10.1310/hpj4804-282

Rosenthale, M. E., & Capetola, R. J. (1982). Adjuvant arthritis: immunopathological and hyperalgesic features. Federation Proceedings, 41(9), 2577–2582. https://pubmed.ncbi.nlm.nih.gov/6177558/

Rupa Health. (n.d.-a). Cardiovascular Testing. Rupa Health. https://www.rupahealth.com/health-categories/cardiovascular

Rupa Health. (n.d.-b). Cortisol. Rupa Health. https://www.rupahealth.com/biomarkers/cortisol

Rupa Health. (n.d.-c). Dopamine. Rupa Health. https://www.rupahealth.com/biomarkers/dopamine

Rupa Health. (n.d.-d). Growth Hormone. Rupa Health. https://www.rupahealth.com/biomarkers/growth-hormone

Rupa Health. (n.d.-e). Oxidative Stress Testing. Rupa Health. https://www.rupahealth.com/health-categories/oxidative-stress

Rupa Health. (n.d.-f). Serotonin. Rupa Health. https://www.rupahealth.com/biomarkers/serotonin

Rupa Health. (2020). Vascular Endothelial Growth Factor | Rupa Health. Rupa Health. https://www.rupahealth.com/biomarkers/vascular-endothelial-growth-factor

Schaller, M. D. (2004). FAK and paxillin. Journal of Cell Biology, 166(2), 157–159. https://doi.org/10.1083/jcb.200406151

Sidransky, E. (2022). Fibroblast. Genome.gov. https://www.genome.gov/genetics-glossary/Fibroblast

Sikirić, P., Petek, M., Rucman, R., Seiwerth, S., Grabarević, Z., Rotkvić, I., Turković, B., Jagić, V., Mildner, B., & Duvnjak, M. (1993). A new gastric juice peptide, BPC. An overview of the stomach-stress-organoprotection hypothesis and beneficial effects of BPC. Journal of Physiology, Paris, 87(5), 313–327. https://doi.org/10.1016/0928-4257(93)90038-u

Sikiric, P., Seiwerth, S., Grabarevic, Z., Rucman, R., Petek, M., Jagic, V., Turkovic, B., Rotkvic, I., Mise, S., Zoricic, I., Konjevoda, P., Perovic, D., Simicevic, V., Separovic, J., Hanzevacki, M., Ljubanovic, D., Artukovic, B., Bratulic, M., Tisljar, M., & Rekic, B. (1997). Pentadecapeptide BPC 157 positively affects both non-steroidal anti-inflammatory agent-induced gastrointestinal lesions and adjuvant arthritis in rats. Journal of Physiology-Paris, 91(3-5), 113–122. https://doi.org/10.1016/s0928-4257(97)89474-0

Sikiric, P., Seiwerth, S., Rucman, R., Turkovic, B., Rokotov, D. S., Brcic, L., Sever, M., Klicek, R., Radic, B., Drmic, D., Ilic, S., Kolenc, D., Stambolija, V., Zoricic, Z., Vrcic, H., & Sebecic, B. (2012). Focus on ulcerative colitis: stable gastric pentadecapeptide BPC 157. Current Medicinal Chemistry, 19(1), 126–132. https://doi.org/10.2174/092986712803414015

Sikiric, P., Udovicic, M., Barisic, I., Balenovic, D., Zivanovic Posilovic, G., Strinic, D., Uzun, S., Sikiric, S., Krezic, I., Zizek, H., Yago, H., Gojkovic, S., Smoday, I. M., Kalogjera, L., Vranes, H., Sola, M., Strbe, S., Koprivanac, A., Premuzic Mestrovic, I., & Mestrovic, T. (2022). Stable Gastric Pentadecapeptide BPC 157 as Useful Cytoprotective Peptide Therapy in the Heart Disturbances, Myocardial Infarction, Heart Failure, Pulmonary Hypertension, Arrhythmias, and Thrombosis Presentation. Biomedicines, 10(11), 2696. https://doi.org/10.3390/biomedicines10112696

Stanford, J. (2024, June 20). NSAIDs Fact Sheet: Uses, Benefits, Risks, and More. Rupa Health. https://www.rupahealth.com/post/nsaids-fact-sheet

Stone, W. L., & Varacallo, M. (2023, May 1). Physiology, Growth Factor. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK442024/

Tran, N., Garcia, T., M Aniqa, Ali, S., Ally, A., & SM Nauli. (2022). Endothelial Nitric Oxide Synthase (eNOS) and the Cardiovascular System: in Physiology and in Disease States. American Journal of Biomedical Science & Research, 15(2), 153. https://pmc.ncbi.nlm.nih.gov/articles/PMC8774925/

Tudor, M., Jandric, I., Marovic, A., Gjurasin, M., Perovic, D., Radic, B., Blagaic, A. B., Kolenc, D., Brcic, L., Zarkovic, K., Seiwerth, S., & Sikiric, P. (2010). Traumatic brain injury in mice and pentadecapeptide BPC 157 effect. Regulatory Peptides, 160(1-3), 26–32. https://doi.org/10.1016/j.regpep.2009.11.012

Turner, J. R. (2009). Intestinal mucosal barrier function in health and disease. Nature Reviews Immunology, 9(11), 799–809. https://doi.org/10.1038/nri2653

U.S. Anti-Doping Agency. (2020, March 3). BPC-157: Experimental Peptide Creates Risk for Athletes | USADA. U.S. Anti-Doping Agency. https://www.usada.org/spirit-of-sport/education/bpc-157-peptide-prohibited/

U.S. Food and Drug Administration. (2024). Substances in Compounding that May Present Significant Safety Risks. U.S. Food and Drug Administration. https://www.fda.gov/drugs/human-drug-compounding/certain-bulk-drug-substances-use-compounding-may-present-significant-safety-risks

Vanderbilt University. (n.d.). Amino Acids. Www.vanderbilt.edu. https://www.vanderbilt.edu/AnS/Chemistry/Rizzo/stuff/AA/AminoAcids.html

Weitzberg, E., Hezel, M., & Lundberg, J. O. (2010). Nitrate-Nitrite-Nitric Oxide Pathway. Anesthesiology, 113(6), 1460–1475. https://doi.org/10.1097/aln.0b013e3181fcf3cc

World Anti-Doping Agency. (2022, January 1). WADA's 2022 Prohibited List now in force. World Anti Doping Agency. https://www.wada-ama.org/en/news/wadas-2022-prohibited-list-now-force

Xu, C., Sun, L., Ren, F., Huang, P., Tian, Z., Cui, J., Zhang, W., Wang, S., Zhang, K., He, L., Zhang, W., Zhang, C., Hao, Q., Zhang, Y., Li, M., & Li, W. (2020). Preclinical safety evaluation of body protective compound-157, a potential drug for treating various wounds. Regulatory Toxicology and Pharmacology, 114, 104665. https://doi.org/10.1016/j.yrtph.2020.104665

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