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This is one reason lifters often look at BPC 157 for issues involving elbows, knees, shoulders, biceps tendons, Achilles tendons, and other high-stress areas

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Notably, this heat stroke-induced LIRI differs fundamentally from reperfusion injury in hypovolemic shock or surgical contexts: in heat stroke, reperfusion is preceded by hyperthermia-induced endothelial damage and systemic inflammatory priming, which amplify oxidative stress (e.g., xanthine oxidase activation) and neutrophil infiltration

Both trials had very high withdrawal rates (over 50% in the phase II study, 32% in the phase III study) which make it difficult to interpret their results

Cai Z, Wang S, Li