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Sildenafil should be started at the lowest effective dose (25 mg) when used alongside BPC-157, mirroring the FDA's recommendation for patients on alpha-blockers [3]

Promising, but still unproven at the level of evidence you'd want before calling it a first-line treatment

It has been used to treat conditions such as inflammatory bowel disease (IBD), ulcers, and leaky gut syndrome by promoting mucosal healing and reducing inflammation within the gut (Jain et al., 2021)

That matters clinically because tendon and ligament recovery depends heavily on cellular repair activity, collagen organization, vascular support, and the ability to gradually reload tissue