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Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series

However, because the oral bioavailability of standard BPC-157 is limited, it is often delivered via subcutaneous injection

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it counteracted both early and delayed neurological damage (i.e., 24 and 72 hours after reperfusion)

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Surgical intervention : When conservative measures fail, surgical repair (such as Achilles tendon repair, rotator cuff repair, or ACL reconstruction) provides well-studied, reliable outcomes