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If you are comparing BPC-157 vs TB-500 , the short answer is that they are usually discussed as complementary healing peptides rather than true substitutes

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10.1212/NXG.0000000000000323 169 ShahcheraghiS

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It exists on a spectrum, and most patients in a functional medicine practice sit somewhere in the subclinical zone impaired enough to affect outcomes, but not severely enough to appear on standard laboratory panels

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