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If you hold the vial up to a light source and see any cloudiness, haziness, or opalescence, that is protein aggregation

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In a retrospective trial[5] of 16 patients with chronic knee pain, 91.6% of those receiving intra-articular BPC-157 experienced significant pain relief, far surpassing acetaminophens effect size of 0.13

Reported effects from preclinical and unregulated human use: Nausea (anecdotal, from community reports) Dizziness (rare, anecdotal) Injection site reactions (bruising, redness) Headache (rare) Theoretical concern about VEGF-mediated tumor angiogenesis Teduglutide Side Effects# Well-characterized from clinical trials: Monitoring requirements : Teduglutide requires colonoscopy within 6 months of starting and then every 5 years due to theoretical risk of intestinal polyps or neoplasia from chronic intestinal proliferation