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This decrease is associated with the cessation of B12 injections at 6 weeks indicating injections may be effective only short-term

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Orthopaedic Sports Medicine Systematic Review (PMC, 2024) A systematic review of BPC-157 in orthopaedic sports medicine conducted via searches of PubMed, Cochrane, and Embase from inception to June 2024 confirmed pre-clinical evidence across fractures, tendon ruptures, ligament tears, and muscle injuries, documenting BPC-157s ability to modulate growth factor expression and enhance fibroblast migration to injury sites across all studied tissue types

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