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Once a vial of bacteriostatic water is opened (i.e., the rubber stopper has been punctured for the first time), you absolutely must refrigerate it

Safety Concerns: Without comprehensive human trials, the FDA cannot assure the safety of BPC-157, including potential side effects, long-term impacts, and appropriate dosages

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When injected, it binds to GHRH receptors on the pituitary and triggers a pulse of growth hormone release, which in turn drives the production of IGF-1 (insulin-like growth factor 1), the downstream hormone responsible for most of growth hormones tissue effects