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Zhang JH, Liang J, Yang ZW

How BPC-157 Reduces Inflammation: Potent but Site-Focused Repair BPC-157, when administered via distant systemic injection (such as subcutaneous in the abdomen), circulates throughout the body yet still produces pronounced localized reduction in inflammation at specific injury or damaged sites because its pleiotropic mechanismssuch as balancing nitric oxide signaling, upregulating VEGF and growth factors, downregulating pro-inflammatory cytokines (TNF-, IL-6), and shifting macrophages from pro-inflammatory M1 to reparative M2 phenotypesare context-dependent and preferentially engage in tissues under stress or injury, where repair pathways are already activated, effectively amplifying healing and resolving excessive inflammation precisely where needed without broadly suppressing it elsewhere

Specifically, these four outcomes were selected based on published literature demonstrating that each numerator component is associated with patient harm, [322] as well as input from clinical experts including ED, statistical, and methodological experts and a TEP that was convened by the measure developer