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A separate 2025 PubMed-reviewed paper on BPC-157 in orthopaedic sports medicine noted that the peptide showed positive outcomes in 87.5% of reviewed knee pain cases though the paper called out heterogeneity in study design and dosing protocols

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, myeloperoxidase, leukotriene B4, tromboxane B2) (44), interacts with prostaglandin-dependent pathways (45, 46), has a direct protective and proliferative effect on target cells (18, 19), and modulates the release of nitric oxide (27)