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Beyond direct receptor activation, research has reported upregulation of growth hormone receptor expression in tendon fibroblasts following BPC-157 exposure, alongside enhanced cell migration and survival in tissue-repair models (PMID 21030672)

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We dont want this to go unidentified, and you should consider obtaining blood and urine samples to test patients with acute valproic acid-induced hyperammonemia for inborn errors of metabolism prior to starting treatment, if possible ultimately treatment shouldnt be delayed for testing