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Given the scoping nature of the review and the heterogeneity of available evidence, study selection focused on identifying representative and clinically informative literature rather than exhaustive quantitative inclusion

Growth Factor Pathway Modulation Beyond VEGF, BPC-157 has been documented to influence the expression or activity of several growth factors and signaling intermediates relevant to tissue organization: EGF receptor (EGFR): BPC-157 has been shown to upregulate EGFR-dependent signaling in gastrointestinal epithelial models, consistent with its gastroprotective effects (Sikiric et al., 2016, Current Neuropharmacology