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Mechanistically, scientific literature suggests BPC 157 may influence several repair pathways at once, including signaling involved in new blood vessel formation (angiogenesis), nitric oxide-related pathways (important for blood flow and tissue signaling), and growth-factor activity that supports cell migration and remodeling during healing

[4] Based on animal research, it is thought that the increased methylmalonyl-CoA hydrolyzes to form methylmalonate (methylmalonic acid), a neurotoxic dicarboxylic acid, causing neurological deterioration