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Francesco Puppi, recent podium finisher of the Western States 100, wrote a thoughtful piece about the state of drug testing in ultras following the high profile test failure of Joyline Chepngeno in 2025
\n\n\n\n Research specifically targeting rotator cuff healing with BPC-157 is limited but aligned with broader tendon-to-bone healing studies
However, annual review with your GP is advisable to: Ensure adherence to the injection schedule Monitor for any new or worsening symptoms Consider testing for other autoimmune conditions if symptoms develop (particularly thyroid function, as thyroid disease is commonly associated with pernicious anaemia) [2] Gastric cancer risk: Pernicious anaemia is associated with a slightly increased risk of gastric cancer
Certain groups might want to be more careful with BPC 157: Athletes : Regulatory concerns mean athletes should think twice
This should only be done by a trained healthcare provider
