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What BPC-157 does at the tissue level is promote angiogenesis, the formation of new blood vessels into damaged tissue, and it activates growth hormone receptors in tendon fibroblasts, which accelerates collagen synthesis at the repair site

Lee C, et al

Its not uncommon in medicine to encounter situations where a treatment, especially one addressing a longstanding deficiency, might initially seem to exacerbate symptoms

Most healthy adults have a heavy store (up to several years worth) of B12 in their liver

Avoid using vials past their expiration date, and inspect them for any changes in color or damage