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They are subject to stricter FDA oversight than the 503A pharmacies

The long-term safety of BPC-157 for human use is not established, as no controlled clinical trials have examined sustained administration beyond short-term animal study durations

It took 10 months of walking, then walk/jogging, before I could continuously jog after my back surgery

[2] [4] During this period, the physiological changes induced by the medication begin to reverse

Peripheral neuropathy: pathogenic mechanisms and alternative therapies

So the US is crazy about solving problems with Pharmaceuticals and GLP-1s arent necessarily a one-and-done