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Mechanistically, scientific literature suggests BPC 157 may influence several repair pathways at once, including signaling involved in new blood vessel formation (angiogenesis), nitric oxide-related pathways (important for blood flow and tissue signaling), and growth-factor activity that supports cell migration and remodeling during healing

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The rate-limiting step in this process is the carnitine shuttle, specifically the CPT-I enzyme that attaches carnitine to long-chain fatty acids so they can cross the inner mitochondrial membrane

Implants, composed of foreign material like silicone or saline, can be an option for thinner patients without enough fat to transfer