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Compounds · Repair & healing peptides

Reading a preclinical wound-healing model and its relevance to a human tendon — a second dataset

RD
r.danquahTL26 Mar 2026#1

Reading a preclinical wound-healing model and its relevance to a human tendon — a second dataset — setting out what I have, and where I think it stops being reliable.

Posting a small dataset on Reading a preclinical wound-healing model. It is mine, it is uncontrolled, and the method is stated so it can be discounted appropriately.

What I would like is not agreement but a second dataset collected by someone with no stake in mine. If one exists I would rather read it than argue for this one.

50 likes 5mo
ST
sterile_tableTL3Regular6 Mar 2026#2

The opening post is right about the mechanism and I think understates the practical bit.

BPC-157: the preclinical literature is extensive, mostly from a small number of research groups, and reports effects across a wide range of injury models. The breadth of reported effects is itself worth noting — a compound that improves outcomes in tendon, muscle, gut, nerve and bone through a single mechanism would be remarkable, and remarkable claims deserve proportionate scrutiny.

If this contradicts something upthread, the upthread version may well be the better one.

13 likes 5mo
GB
g.bakkenTL26 Mar 2026#3

A methods point on Reading a preclinical wound-healing model rather than a substantive one: if the comparison is not like for like, the difference you are measuring is the difference in method.

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TN
t.nguyen_newTL1Member7 Mar 2026#4
g.bakken, post #3: A methods point on Reading a preclinical wound-healing model rather than a substantive one: if the comparison is not like for like, the difference you are measuring is the difference in method. Go to post

Reported local reactions are common enough in first-hand accounts here to be worth mentioning and are not characterised in any published series.

Genuinely open to being wrong about this one.

0 likes in reply to #3 5mo
AA
a.amankwahTL27 Mar 2026#5

Adding a reference point for Reading a preclinical wound-healing model. Mine is a single case, collected without controls, and I am posting the method alongside it so it can be discounted appropriately.

20 likes 5mo
RM
r.marsdenTL3Regular7 Mar 2026#6

Adding a note of thanks rather than an opinion. I did not know most of that.

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JM
j.marchettiTL27 Mar 2026#7

Post #3 and I disagree about the size of the effect, not about the direction.

For anyone arriving from search engines: this subcategory discusses published preclinical work and the absence of published clinical work. It does not endorse or recommend these compounds.

2 likes 5mo
FR
figure_reviewTL2Member7 Mar 2026 · edited#8
j.marchetti, post #7: Post #3 and I disagree about the size of the effect, not about the direction. For anyone arriving from search engines: this subcategory discusses published preclinical work and the absence of published clinical work. It does not endorse or recommend these compounds. Go to post

I have no financial interest in anything named in this thread and I want to say so before I comment on Reading a preclinical wound-healing model, because it is the sort of subject where it matters.

0 likes in reply to #7 5mo
MR
m.radichTL27 Mar 2026#9
t.nguyen_new, post #4: Reported local reactions are common enough in first-hand accounts here to be worth mentioning and are not characterised in any published series. Genuinely open to being wrong about this one. Go to post

Reading a preclinical wound-healing model: the model shows whether a mechanism is plausible in a specific context. It does not show magnitude of effect in humans, does not show safety profile in humans, and does not show whether the effect survives in a more complex biological system. That is not a criticism of preclinical work — it is what preclinical work is for.

Noting that the question and the thing people usually mean by it are different.

0 likes in reply to #4 5mo
HO
h.oyelowoTL2Regular8 Mar 2026#10

The lyophilised cake is worth looking at before adding diluent. A collapsed or shrunken cake is not a purity finding but it does say something about how the vial was made and how it travelled.

Two people can read the same figure differently here and both be reasonable.

26 likes 5mo
NK
ni.kravchenkoTL28 Mar 2026#11

Adding a small correction to the Reading a preclinical wound-healing model summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters.

29 likes 5mo
RJ
r.jhannsdttirTL3Regular8 Mar 2026#12
figure_review, post #8: I have no financial interest in anything named in this thread and I want to say so before I comment on Reading a preclinical wound-healing model, because it is the sort of subject where it matters. Go to post

I read post #10 twice before replying, because I had assumed the opposite.

What would change the position on repair peptides: adequately powered, published, peer-reviewed randomised controlled human trials with pre-specified outcomes. That is the standard applied to every other therapeutic claim on this site and it is the standard applied here.

The confident version of this sentence would be wrong, so here is the hedged one.

0 likes in reply to #8 5mo
PK
p.krastevTL28 Mar 2026#13

Taking post #12 at face value and following it one step further.

I have been on both sides of the Reading a preclinical wound-healing model argument in this category within eighteen months, which should tell you how strong the evidence for either side is.

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IS
isotonic_sheetTL3Regular8 Mar 2026 · edited#14

Nothing in this subcategory is medical advice and several members here are describing experiments on themselves. Both of those things should be stated plainly rather than implied.

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KP
k.pereiraTL28 Mar 2026#15

Narrowing post #12, because the general version has more than one answer.

The absence of adequately powered published randomised human trials is the central fact about BPC-157. This site states that plainly rather than hedging. Mechanistic plausibility does not substitute for it.

I would put the burden of proof on the interesting explanation, not the dull one.

21 likes 5mo
RV
r.venkatesanTL3Wiki editor8 Mar 2026#16
r.jhannsdttir, post #12: I read post #10 twice before replying, because I had assumed the opposite. What would change the position on repair peptides: adequately powered, published, peer-reviewed randomised controlled human trials with pre-specified outcomes. That is the standard applied to every other therapeutic claim on this site and it is the standard… Go to post

Saving this. It is the version I will quote when the question comes round again.

0 likes in reply to #12 5mo
AP
au.pereiraTL29 Mar 2026#17

Dose-response is unstudied in humans for essentially everything in this family, which means the confident numbers in circulation came from somewhere other than a trial.

1 like 5mo
MM
maintenance_modeTL3Regular9 Mar 2026#18

Whatever the answer on Reading a preclinical wound-healing model turns out to be, the method for getting there is the same: state the assumption, do the arithmetic in public, invite the correction.

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AI
a.ilungaTL29 Mar 2026#19

The absence of human trials means there is no established dose, no established interval and no established duration. Protocols circulating in this space are convention rather than evidence and should be described as such.

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LE
logbook_erinTL39 Mar 2026#20
AW
a.wikstromTL29 Mar 2026#21

Speaking only to Reading a preclinical wound-healing model as I have actually seen it, rather than as it is usually described: the effect is real, it is smaller than the thread suggests, and the variance between people is larger than the effect.

0 likes 5mo
SL
s.leclercTL4 Moderator9 Mar 2026#22
a.wikstrom, post #21: Speaking only to Reading a preclinical wound-healing model as I have actually seen it, rather than as it is usually described: the effect is real, it is smaller than the thread suggests, and the variance between people is larger than the effect. Go to post

Research use only, not approved for human use, and in this family that statement carries more weight than usual because the published human safety data is effectively absent rather than merely limited.

Speaking for myself and not for anyone else who has posted here.

0 likes in reply to #21 5mo
MB
m.brobergTL29 Mar 2026#23
au.pereira, post #17: Dose-response is unstudied in humans for essentially everything in this family, which means the confident numbers in circulation came from somewhere other than a trial. Go to post

I had written a reply contradicting post #19 and deleted it. Here is what survived.

The distinction between "no evidence it works" and "evidence it does not work": we have the first for these compounds. That is genuinely different from the second and the distinction matters, but it also means treatment plans based on these compounds are being built on theoretical grounds, not empirical ones.

I am reporting what happened, not recommending it.

12 likes in reply to #17 5mo
CB
c.bakkerTL210 Mar 2026#24
RE
r.ekstromTL210 Mar 2026#25

Practical note on Reading a preclinical wound-healing model: write down what you expect before you look. The number of times I have found what I went looking for is higher than chance would allow.

1 like 5mo
EF
endo_fellow_rkTL3Endocrinology fellow10 Mar 2026#26

Picking up post #23: that is the part I would want checked first.

The pentadecapeptide sequence is short and stable enough to survive conditions that would degrade a larger peptide, which is one of the few things about it that is well characterised.

Noting that I have skin in this question and have tried to discount for it.

0 likes 5mo
TD
t.dumitruTL210 Mar 2026#27
m.broberg, post #23: I had written a reply contradicting post #19 and deleted it. Here is what survived. The distinction between "no evidence it works" and "evidence it does not work": we have the first for these compounds. That is genuinely different from the second and the distinction matters, but it also means treatment plans based on these compounds are… Go to post

Agreed, and I will stop repeating the version of this I had been repeating.

18 likes in reply to #23 5mo
C
chromatogramTL4Analytical chemist10 Mar 2026#28

Oral versus injected administration claims for BPC-157: the preclinical work studied injection. Oral claims are common in supplier marketing and poorly supported by published evidence. If you are comparing orality between compounds, that is a distinction worth noting.

7 likes 5mo
TN
t.ndiayeTL210 Mar 2026#29

Worth separating two things that post #28 runs together.

BPC-157's published evidence is overwhelmingly preclinical and mostly rodent. That is not a dismissal — it is the state of the literature, and any discussion that starts elsewhere is starting from something that is not there.

I keep a log of this specifically because memory is unreliable about it.

3 likes 5mo
TD
t.demirTL210 Mar 2026#30

This follows post #28 rather than contradicting it.

I keep a log for Reading a preclinical wound-healing model specifically because my memory of it turned out to be systematically wrong in one direction. Six weeks of notes cost nothing and settled it.

0 likes 5mo