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Timing varies by person and dose

Short Answer: BPC-157 has plausible repair mechanisms and animal evidence, but there is insufficient human clinical evidence that it improves healing, injury recovery, tendon repair, athletic recovery, or gut health

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Brain Res 1623:166173 Holfeld J, Tepekoylu C, Blunder S, Lobenwein D, Kirchmair E, Dietl M, Kozaryn R, Lener D, Theurl M, Paulus P et al (2014) Low energy shock wave therapy induces angiogenesis in acute hind-limb ischemia via VEGF receptor 2 phosphorylation

SEP15) is highly expressed in several tissues, including prostate, kidney, testes, liver, and brain (29)