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Systemic, local, oral, and intraperitoneal , has important implications for research design, as it distinguishes BPC-157 from most other repair peptides whose biological activity is strictly route-dependent and suggests that BPC-157s mechanisms include both local tissue effects at the administration site and systemic effects mediated through circulating peptide or secondary signalling

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Most clinicians would recommend maximizing results with a single agent before adding complexity, particularly given that tirzepatide already produces substantial fat loss on its own