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This is not because BPC-157 is weak

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Heres how I explain it to patients: after an injury, your body sends repair crews to the damage site to create new blood vessels, collagen-producing cells, anti-inflammatory signals

Phase 2 results at 48 weeks (Jastreboff et al., NEJM 2023): Phase 3 TRIUMPH-4 at 68 weeks (Lilly Press Release, Dec 2025): The 12 mg dose produced 28.7% body weight loss, an average of 71.2 lbs from a 248.5 lb baseline

It remains unclear whether a loading dose is necessary for rapid treatment of vitamin B12 deficiency via intranasal administration

Having far more injections than your levels call for adds cost and appointments without a matching benefit, which is why frequency should track a confirmed need rather than a habit