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Peptide therapy and biologicals are not cheap

Free Radic Bio Med

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For example, according to a recent review by researchers in the US looking at peptides often marketed to patients with musculoskeletal injuries, BPC-157 demonstrated potential benefits in tendon and muscle repair, but these findings are largely unvalidated in human trials, with no randomised control trials in humans relating to such uses, and the only case series having serious flaws

This is also why a secretagogue approach is framed as "axis-friendly": because endogenous somatostatin is still in the loop, negative feedback is preserved, which in principle restrains the supraphysiologic IGF-1 spikes seen with exogenous GH