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In the UK, the NHS says it is more common in older people, affecting around 1 in 10 people aged 75 or over and 1 in 20 people aged 65 to 74. Sources:

In rodent models, BPC-157 demonstrated a wide therapeutic index with no observed hepatotoxicity, nephrotoxicity, or neurotoxicity across multiple dosing regimens. Sikiric et al., Regenerative Pharmacology Reported Side Effects (Rare) While side effects are rare, some users report: Peptides like BPC-157 generally exhibit low immunogenicity and low systemic toxicity, though user-specific variables such as injection technique or gut sensitivity may influence short-term side effects. [Clinical Peptide Society Review, 2021] Is BPC-157 Safe for Long-Term Use

See your health care practitioner before use if you are taking any prescription drug or MAO inhibitor

Many people benefit from a single injection, but some may require two or three treatments spaced a few weeks apart depending on the severity of the tendon damage

USA 102 , 761766 (2005)