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There are a lot of factors that make it very hard to do a good study on these peptides. For one, such research is costly, and the wide availability of unproven peptides makes them less attractive to pursue from a financial standpoint, he says

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Doctors would write prescriptions to a compounding pharmacy for BPC-157 (often alongside other peptides like TB-500, CJC-1295, etc.), and patients could receive the drug despite its unapproved status

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Sawyer DB, Colucci WS

Blood sugar imbalances are often connected to adrenal dysfunction, which you can read more about in my article here