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L-Carnitine acts as a carrier molecule, facilitating the transport of fatty acids into the mitochondria, where they are converted into energy

A 2025 narrative review that searched six databases through March of that year found robust regenerative signals in preclinical work but only three published human clinical trials of BPC-157 and concluded that the compound should still be considered investigational, noting the anti-doping and compounding restrictions that regulators had applied over the lack of human safety data

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however, this was nonsignificant, and a more substantial decrease or increase in odds is also possible (OR 0.89 [95% CI 0.49, 1.65]) (Fig 2)

Anna Sinaiko, associate professor of health economics and policy at the Harvard T.H