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Source quality dramatically influences outcomes

Based on clinical trials like Lee et al

The copper component can cause localized burning, redness, swelling, or itching

It travels through the pelvis, past the piriformis muscle, and down the back of each thigh before branching into smaller nerves at the knee

Genetic and phenotypic heterogeneity suggest therapeutic implications in SCN2A-related disorders

So even though any professional athlete with this substance in their system would be automatically disqualified from competition, and the FDA put out advisories about the issues with compounding pharmacies making these substances (6,7), people are still getting their hands on BPC 157