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Angiogenesis, NO Modulation & Cytokine Control BPC-157 activates angiogenesis to restore blood supply to damaged tissue, upregulates growth hormone receptors in tendons and muscles, modulates the nitric oxide system to reduce localized inflammation, stimulates fibroblast proliferation for collagen synthesis, and downregulates TNF- and IL-6 the primary cytokines driving chronic myofascial pain