BPC-157: dosing in studies, side effects, the Wolverine stack and what the research shows
What 228 indexed publications and 0 randomized trials actually state about bpc-157, sentence by sentence, each tied to its source and labeled by the kind of evidence it is.
At a glance
What BPC-157 is and how it acts
BPC-157 is a peptide in the repair & anti inflammatory class (unclear; NO-system and growth-factor pathways proposed). Europe PMC indexes 228 publications naming it or a listed alias in a title or abstract, including 0 randomized controlled trials and 0 clinical trials of any design, as of . The strongest evidence tier in that literature is observational human studies, with no indexed randomized trial.
This page reports what those studies state, sentence by sentence, with each statement tied to its source and labeled by the kind of evidence it is. It does not recommend use, and it does not translate study doses into anything personal.
What the evidence level means
Publication counts show what is indexed, not how strong the evidence is. The ledger below separates human clinical records from preclinical, analytical, and in-vitro work.
Interpretation boundary: An indexed publication count is a discovery measure. It does not establish efficacy, safety, approval, or a personal treatment plan.
BPC-157 in two minutes
What it is. A 15-amino-acid fragment of a protein found in human gastric juice, synthesised in a laboratory. Studied since the early 1990s, almost entirely in rats and almost entirely by one group in Zagreb, for healing of tendon, muscle, bone, gut and nerve injury.
What the research actually shows. 228 indexed publications and zero randomized trials. Three human studies exist, all small uncontrolled pilots from one clinic in Orlando: a 2021 retrospective series of knee injections, a 2024 series of 12 women with bladder pain, and a 2025 safety infusion in two healthy adults. Together they involve about 26 people and none had a placebo group. The animal literature is large and consistent in reporting faster healing; how far that transfers to people is unknown.
What people commonly report using. 200 to 500 micrograms injected once or twice daily near an injury for four to six weeks, or oral capsules for gut complaints; the "Wolverine stack" adds TB-500. None of it has been tested.
Status. Not approved anywhere. Prohibited in sport at all times under WADA category S0. Placed by the FDA in Category 2 of its compounding bulk-substances list in 2023 for safety concerns.
Where the evidence is thinnest. Any controlled human outcome; long-term safety; whether its blood-vessel-promoting activity matters in the presence of a tumour; whether oral dosing reaches the tissues injections reach.
Editorial synthesis Written from general pharmacology, the development record and what is commonly reported; not a cited finding. Cited findings on this page carry their own tier.
How BPC-157 is thought to work
Written from general pharmacology and the development record, and marked as editorial synthesis; the measurements behind it are quoted in the biomarker section.
- Editorial synthesis from general knowledge
- Editorial synthesis from general knowledge
- Editorial synthesis from general knowledge
What happened in the human studies?
This record's ledger holds 2 primary human studies. Few enough to show in full: each card quotes what its abstract reported about BPC-157. Read them before any other section on this page.
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For years, the peptide Body Protection Compound 157 (BPC-157) has been used to treat partial muscle or tendon tears.
Sourcepmid-40131143· quoted verbatim from the abstract -
Here, an integrated approach in experimental BPC 157 therapy was implemented, combining laboratory-controlled and field study results.
Sourcepmid-34571768· quoted verbatim from the abstract
What did the studies find?
Reported outcomes, not benefits. Of 228 indexed publications, none is a randomized trial; the three human studies are small, uncontrolled pilots from one clinic. What follows is what was measured, mostly in rats. One row per primary study in this record's ledger. Fields are read from each paper's indexing and abstract. "Analytical method" marks papers about detecting or measuring the compound rather than about its effects.
| Study | Design | n | Species | Dose | Route | Duration | Reported outcome | Tier |
|---|---|---|---|---|---|---|---|---|
| Lee 2025 | Human study | 2 | Humans | 20 mg | intravenous | 58 year; 68 year | — | Observational, human |
| Tlak 2021 | Human study | — | Humans | — | oral | — | — | Observational, human |
| Biçer 2026 | Animal study | — | Rats | 10 µg/kg/day | — | — | Biomechanical testing revealed higher maximum load to failure values in the BPC-157 and TB-500 groups compared to controls, reaching statistical significance in the TB-500 group (p Conclusion In this exploratory rat… | Animal, preclinical |
| Jelińska 2026 | Animal study | — | — | — | — | — | Despite significantly lower potency compared to clinically used AChE inhibitors, the studied peptides represent a promising scaffold for further optimization. | Animal, preclinical |
| Yıldırım 2026 | Animal study | 6 | Rats | 20 µg/kg | intraperitoneal | — | Bcl-2 mRNA was not significantly reduced by I/R compared with SHAM; however, BPC 157 significantly increased Bcl-2 expression compared with IR. | Animal, preclinical |
| Smoday 2026 | Animal study | — | Rats | 10 ng/kg | — | — | — | Animal, preclinical |
| Madzarac 2026 | Animal study | — | Rats | 10 µg; 10 ng | intraperitoneal | — | BPC 157 counteracted increase in NO level and counteracted increase in MDA level. | Animal, preclinical |
| Sikiric 2025 | Animal study | — | Rats, Mice | — | — | — | BPC 157 exhibits a distinctive effect on NO-level (increase vs. decrease), always combined with counteraction of free radicals formation, and in mice and rats, BPC 157 therapy counteracts Parkinson's disease-like and… | Animal, preclinical |
| Demirtaş 2025 | Animal study | — | Rats | — | — | — | The findings of this study demonstrate that BPC-157 exerts a significant protective effect against distant organ damage in the liver, kidneys, and lungs following lower extremity ischemia-reperfusion injury in rats. | Animal, preclinical |
| Matek 2025 | Animal study | — | Rats | 10 µg; 10 ng | oral | 3 months | All parameters of the walking pattern fully improved, and soon after detachment and therapy application, muscle approached the bone, leaving a minimal gap (on ultrasonic assessment), and leg contracture was annihilated. | Animal, preclinical |
| Tepes 2023 | Animal study | — | Rats | 10 µg/kg; 10 ng/kg | subcutaneous | — | Contrarily, BPC 157 therapy (10 µg/kg, 10 ng/kg sc) given at 3 min reperfusion times eliminated/attenuated venous hypertension (intracranial (superior sagittal sinus), portal, and caval) and aortal hypotension and… | Animal, preclinical |
| Smoday 2023 | Animal study | — | Rats | 10 µg/kg; 10 ng/kg | intragastric, intraperitoneal | — | — | Animal, preclinical |
| Premuzic 2023 | Animal study | — | Rats | 10 µg; 10 ng/kg | intragastric | — | — | Animal, preclinical |
| Kalogjera 2023 | Animal study | — | Rats | 10 µg | — | — | Thrombosis, peripherally (inferior caval vein, portal vein, abdominal aorta) and centrally (superior sagittal sinus) BPC 157 therapy markedly reduced/annihilated. | Animal, preclinical |
| Strbe 2023 | Animal study | — | Rats | 10 µg/kg; 10 ng/kg | intraperitoneal | — | — | Animal, preclinical |
| Gamulin 2022 | Animal study | — | Rats | 10 ng/kg | intraperitoneal | — | Recently, it was found that when confronted with major vessel occlusion and vascular failure, stable gastric pentadecapeptide BPC 157 therapy might rapidly functionally improve minor vessels to take over the function… | Animal, preclinical |
| Zemba 2022 | Animal study | — | Rats | — | intraperitoneal | — | With the BPC 157 therapy applied immediately after ketamine, the effect on Nos1 , Nos2 , Plcg1 , Prkcg , and Ptgs2 (increased or decreased expression), appeared as a timely specific BPC 157 effect on ketamine-specific… | Animal, preclinical |
| Smoday 2022 | Animal study | — | Rats | 10 μg/kg; 10 ng/kg | — | — | We revealed the therapy effect of the stable gastric pentadecapeptide BPC 157 (10 μg/kg, 10 ng/kg ig or po) with specific activation of the collateral rescuing pathways, the azygos vein, on bile duct ligation in… | Animal, preclinical |
| Perovic 2022 | Animal study | 157 | Rats | — | intragastric, intraperitoneal | 1 year; 4 days | BPC 157 rats presented only discrete edema and minimal hemorrhage and increased Nos1 , Nos2 , and Nos3 values (30 min post-injury, (i)) or only mild hemorrhage, and only discrete vacuolation of tissue (day 4, (ii)). | Animal, preclinical |
| Kralj 2021 | Animal study | — | Rats | 0.4 µg; 0.4 ng | intragastric, intraperitoneal, oral | — | As leading symptoms, increased intraocular pressure and mydriasis, as well as degeneration of retinal ganglion cells, optic nerve head excavation and reduction in optic nerve thickness, generalized severe irregularity… | Animal, preclinical |
| Japjec 2021 | Animal study | — | Rats | 10 µg/kg; 10 ng/kg | intraperitoneal, oral | 28 days; 42 days | — | Animal, preclinical |
| Udovicic 2021 | Animal study | — | Rats | 10 μg/kg | intraperitoneal, subcutaneous | — | Monocrotaline-induced pulmonary arterial hypertension in rats (wall thickness, total vessel area, heart frequency, QRS axis deviation, QT interval prolongation, increase in right ventricle systolic pressure and… | Animal, preclinical |
| Gojkovic 2021 | Animal study | — | Rats | 10 µg/kg; 10 ng/kg | intragastric, intraperitoneal, topical | — | BPC 157 therapy rapidly attenuates the brain swelling, rapidly eliminates the increased pressure in the ligated superior sagittal sinus and the severe portal and caval hypertension and aortal hypotension, and rapidly… | Animal, preclinical |
| Vukojević 2018 | Animal study | — | — | 10 μg; 10 ng/kg | — | — | BPC 157-rats presented raised plasma NO-values, but normal MDA-values; in ICV tissue reverted low NO-values and counteracted increased MDA-levels. | Animal, preclinical |
What doses did studies use?
These are doses studies administered, almost all in rats, plus a two-person intravenous safety pilot. No trial has established a BPC-157 dose for any use in people; the 200 to 500 microgram figures that circulate come from communities and clinics. Each entry is a sentence quoted from the study's abstract, with the study's design, sample size and year in front of it. Comparator doses in the same sentence are not attributed to bpc-157.
- Doses stated in the abstract: 20 mg
Intravenous infusion of up to 20 mg of BPC-157 in 2 healthy adults showed no adverse effects and was well-tolerated.
Sourcepmid-40131143· quoted verbatim from the abstract, emphasis added - Doses stated in the abstract: 10 µg/kg/day
Thirty-two male Sprague-Dawley rats, each aged 12 weeks and weighing approximately 330 g, underwent standardized Achilles tendon transection and repair and were randomly assigned to four groups, with eight rats in each group: control, BPC-157 (10 µg/kg/day), TB-500 (60 µg/kg/day), and combined BPC-157 + TB-500 (BPC + TB).
Sourcepmid-42542926· quoted verbatim from the abstract, emphasis added - Doses stated in the abstract: 20 µg/kg
BPC 157 (20 µg/kg, intraperitoneal) was administered at the 45th minute of ischemia in B and IRB groups.
Sourcepmid-42204242· quoted verbatim from the abstract, emphasis added - Doses stated in the abstract: 10 ng/kg
BPC 157 (10 ng/kg intragatrically immediately after unilateral adrenalectomy) produced a clear, reproducible separation of aortic spectra from control samples at all time points.
Sourcepmid-41599787· quoted verbatim from the abstract, emphasis added - Doses stated in the abstract: 10 µg; 10 ng
Tracheocutaneous fistula rats received daily medication (/kg), alone or combined, BPC 157 therapy (10 µg, 10 ng, in drinking water or intraperitoneally) along with a triple NO-agent approach (L-NAME 5 mg, L-arginine 100 mg, and L-NAME+L-arginine, intraperitoneally).
Sourcepmid-41599743· quoted verbatim from the abstract, emphasis added - Doses stated in the abstract: 10 µg; 10 ng
Pharmacotherapy recovering various muscle, tendon, ligament, and bone lesions, and severed junctions (i.e., myotendinous junction), per-oral in particular (BPC 157/kg/day 10 µg, 10 ng), provides muscle-to-bone reattachment after quadriceps muscle detachment, both complete (rectus muscle) and partial (vastus muscles).
Sourcepmid-39861766· quoted verbatim from the abstract, emphasis added
BPC-157 dosage chart: studies versus what circulates
Two kinds of figure appear when people search for a BPC-157 dose. This table keeps them apart.
Only the first two rows were administered to people, and neither was chosen to treat anything. Body-weight doses from rats do not convert to people by arithmetic.
| Source of the figure | Dose | Frequency and duration | What it was for |
|---|---|---|---|
| Human intravenous safety pilot (2025) | 10 mg and 20 mg, single infusion | Once, 24-hour observation | 2 healthy adults; tolerated; plasma back to baseline within 24 h |
| Human knee series (2021) and bladder series (2024) | Local injection; doses as stated in the papers | Single or few injections | Uncontrolled series from one clinic, about 24 people in total; not in this ledger yet |
| Rat studies (the bulk of the literature) | 10 µg/kg and 10 ng/kg, the group's standard pair | Single doses to several weeks | Intraperitoneal, intragastric or in drinking water; healing, gut, blood-pressure and behavioural models |
| Commonly reported (communities, clinics) | 200 to 500 µg subcutaneously, often near the injury | Once or twice daily, 4 to 6 weeks | Untested for these uses |
| Commonly reported, oral | 250 to 500 µg capsules | Once or twice daily | Rests on the gastric-stability finding in animals; no human absorption data |
| Commonly reported, 'Wolverine stack' | BPC-157 as above plus TB-500 2 to 2.5 mg | TB-500 twice weekly | One 2026 rat study tested the pair on tendon healing; nothing in people |
The rat doses are notable for how small they are: 10 nanograms per kilogram is a thousand times below the common human figure per kilogram of body weight. That gap is one reason the community figures cannot be called derived from the studies; they were not.
Editorial synthesis Written from general pharmacology, the development record and what is commonly reported; not a cited finding. Cited findings on this page carry their own tier.
What side effects have been reported?
Events and their frequency as each study reported them, with the denominator where the abstract gives one.
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The BPC-157 peptide infusion was tolerated, with no side effects reported.
Sourcepmid-40131143· quoted verbatim from the abstract -
BPC 157 counteracted ketamine-cognition dysfunction, social withdrawal, and anhedonia, and exerted additional anxiolytic effect.
Sourcepmid-35884767· quoted verbatim from the abstract
Who BPC-157 is discussed for, and the cautions that recur
There is no approved indication and no approved patient. What follows is the reasoning that appears in reviews and regulatory statements.
The interest. Tendon, ligament and muscle injuries, post-surgical recovery, and inflammatory gut conditions, because that is where the rat studies report effects and because injection near an injury is easy to do. Athletes, who make up much of the audience, are the group for whom it is explicitly prohibited.
Cautions that recur.
- Cancer, active or recent. The compound promotes new blood-vessel growth and upregulates growth-factor signalling in animals. Whether that matters in a person with a tumour is untested in either direction, and every serious review lists it first.
- Blood pressure medication and nitric-oxide-active drugs. BPC-157 alters nitric-oxide signalling and shifts blood pressure in rats in both directions; interactions with antihypertensives, nitrates or PDE-5 inhibitors have not been studied.
- Pregnancy and breastfeeding. No data.
- Immunogenicity and impurities. The FDA's stated reasons for the Category 2 listing: a peptide of this size can provoke an immune response, and unregulated products carry unknown impurities.
- Anyone subject to anti-doping rules. S0, prohibited at all times, detectable.
None of these is an observed harm in a person; all follow from the mechanism or from the absence of data. Their absence from marketing pages is a gap in those pages, not evidence of safety.
Editorial synthesis Written from general pharmacology, the development record and what is commonly reported; not a cited finding. Cited findings on this page carry their own tier.
What studies measured: blood pressure, nitric oxide, healing markers
Laboratory and clinical measures the studies report tracking, including which hormones did and did not change.
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On day 2, fasting blood work was repeated, vital signs were recorded, and 20 mg of BPC-157 in 250 cc of normal saline was infused over one hour.
Sourcepmid-40131143· quoted verbatim from the abstract -
Those results were complemented by strong and visible LAP activity, particularly noticeable in the apical parts of the epithelial cells in the mid-guts of young worker honeybees originated from treated hives, suggesting a link between alternative oral therapy with BPC 157 and honeybees' immunity.
Sourcepmid-34571768· quoted verbatim from the abstract -
In this study, the inhibitory potential of the gastric pentadecapeptide BPC-157 and two newly designed hybrid analogs, CIARA-1 and CIARA-2, was investigated for the first time.
Sourcepmid-42278509· quoted verbatim from the abstract -
Body Protection Compound-157 (BPC 157), a stable gastric pentadecapeptide, has demonstrated cytoprotective properties in multiple tissues.
Sourcepmid-42204242· quoted verbatim from the abstract -
Stable gastric pentadecapeptide BPC 157 therapy was found to maintain the vascular function under severe stress, as FTIR spectroscopy recently demonstrated rapid peptide-induced molecular changes in healthy rat blood vessels, particularly in lipid content and protein secondary structure.
Sourcepmid-41599787· quoted verbatim from the abstract -
Stable gastric pentadecapeptide BPC 157 was proposed.
Sourcepmid-41599743· quoted verbatim from the abstract
Reported interactions
Sentences in which the compound is studied alongside another agent. Read the quotation: the word interaction can also be statistical.
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Three independent reviewers searched the PubMed database using permutations of peptide search terms (BPC-157, TB-500, CJC-1295, MK-677 [ibutamoren], ipamorelin, and GHK-Cu) combined with musculoskeletal tissue search terms (bone, fracture, muscle, tendon, ligament, meniscus, and cartilage) following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.
Sourcepmid-42578445· quoted verbatim from the abstract -
The hybrid peptides were rationally designed by combining a BPC-157-derived fragment with an arginine-containing C-terminal sequence to enhance interactions with the enzyme's active and peripheral binding sites.
Sourcepmid-42278509· quoted verbatim from the abstract -
BPC 157 exhibits a distinctive effect on NO-level (increase vs. decrease), always combined with counteraction of free radicals formation, and in mice and rats, BPC 157 therapy counteracts Parkinson's disease-like and Alzheimer's disease-like disturbances.
Sourcepmid-41155565· quoted verbatim from the abstract -
Thus, a stable isotope labeling-based nontargeted strategy combined with ultra-high-performance liquid chromatography-high-resolution mass spectrometry (UHPLC-HRMS) was first proposed for the effective and rapid metabolism analysis of small-molecule doping agents and demonstrated via its application to a novel doping BPC-157.
Sourcepmid-37959764· quoted verbatim from the abstract
What happens after a dose, and what people report over weeks
Hours are partly measured; weeks are reported. They should not be read in the same voice.
Measured. After intravenous infusion in two adults, plasma levels returned to baseline within 24 hours and cardiac, liver, kidney and thyroid markers did not change. That is the whole of the human pharmacokinetic record. In rats, healing effects are reported over days to weeks depending on the tissue model.
Commonly reported, untested. Users describe reduced pain at an injury within one to two weeks, gut symptom changes over similar timescales, and a course of four to six weeks. Most soft-tissue injuries improve over exactly that period without treatment, which is what a control group would have shown and why none of these accounts can be read as effect.
What would change the picture. A placebo-controlled trial in a defined injury with an objective endpoint. None has been registered.
Editorial synthesis Written from general pharmacology, the development record and what is commonly reported; not a cited finding. Cited findings on this page carry their own tier.
How long did studies run?
A study's duration is how long the experiment ran, in rats for the most part. It is not a course length for people, and none has been tested. Treatment and follow-up periods as stated in each abstract.
- Durations stated: 58 year; 68 year
Two patients participated: a 58-year-old Asian male and a 68-year-old Caucasian female, each of whom had received intravenous BPC-157 before this trial.
Sourcepmid-40131143· quoted verbatim from the abstract - Durations stated: 3 months
Consequently, at 3 months, the form was stable, and the balance between the muscle and bone was the following: well-organized bone, newly formed as more cortical bone providing a narrower bone marrow space, and the muscle and mature fibers were oriented parallel to the bone axis and were in close contact with bone.
Sourcepmid-39861766· quoted verbatim from the abstract, emphasis added - Durations stated: 1 year; 4 days
Besides the demonstrated rapid and sustained recovery (1 year), we showed the particular points of the immediate effect of the BPC 157 therapy that began rapidly after its administration, (i) soon after injury (10 min), or (ii) later (4 days), in the rats with a definitive spinal cord injury.
Sourcepmid-35678659· quoted verbatim from the abstract, emphasis added - Durations stated: 28 days; 42 days
Microscopically, there are no more inflammatory infiltrate, well-oriented recovered tissue of musculotendon junction appears in BPC 157 treated rats at the 28 days and 42 days.
Sourcepmid-34829776· quoted verbatim from the abstract, emphasis added
Oral or injected: what routes studies used
Routes of administration named in each study.
- administration by intravenous route reported
Few studies on humans have been published, with none on the intravenous use of BPC-157 in humans.
Sourcepmid-40131143· quoted verbatim from the abstract - administration by oral route reported
Those results were complemented by strong and visible LAP activity, particularly noticeable in the apical parts of the epithelial cells in the mid-guts of young worker honeybees originated from treated hives, suggesting a link between alternative oral therapy with BPC 157 and honeybees' immunity.
Sourcepmid-34571768· quoted verbatim from the abstract - administration by intraperitoneal route reported
BPC 157 (20 µg/kg, intraperitoneal) was administered at the 45th minute of ischemia in B and IRB groups.
Sourcepmid-42204242· quoted verbatim from the abstract - administration by intraperitoneal route reported
Tracheocutaneous fistula rats received daily medication (/kg), alone or combined, BPC 157 therapy (10 µg, 10 ng, in drinking water or intraperitoneally) along with a triple NO-agent approach (L-NAME 5 mg, L-arginine 100 mg, and L-NAME+L-arginine, intraperitoneally).
Sourcepmid-41599743· quoted verbatim from the abstract - administration by oral route reported
This is a novel rat study using native peptide therapy, focused on reversing quadriceps muscle-to-bone detachment to reattachment and stable gastric pentadecapeptide BPC 157 per-oral therapy for shared muscle healing and function restoration.
Sourcepmid-39861766· quoted verbatim from the abstract - administration by subcutaneous route reported
Contrarily, BPC 157 therapy (10 µg/kg, 10 ng/kg sc) given at 3 min reperfusion times eliminated/attenuated venous hypertension (intracranial (superior sagittal sinus), portal, and caval) and aortal hypotension and counteracted the increases in organ lesions and malondialdehyde values (blood ˃ heart, lungs, liver, kidney ˃ brain, gastrointestinal tract).
Sourcepmid-38004420· quoted verbatim from the abstract
Weight-normalized doses, as published
Per-kilogram figures exactly as each study published them, for the species it studied.
- Weight-normalized doses as published: 10 µg/kg/day
Thirty-two male Sprague-Dawley rats, each aged 12 weeks and weighing approximately 330 g, underwent standardized Achilles tendon transection and repair and were randomly assigned to four groups, with eight rats in each group: control, BPC-157 (10 µg/kg/day), TB-500 (60 µg/kg/day), and combined BPC-157 + TB-500 (BPC + TB).
Sourcepmid-42542926· quoted verbatim from the abstract, emphasis added - Weight-normalized doses as published: 20 µg/kg
BPC 157 (20 µg/kg, intraperitoneal) was administered at the 45th minute of ischemia in B and IRB groups.
Sourcepmid-42204242· quoted verbatim from the abstract, emphasis added - Weight-normalized doses as published: 10 ng/kg
BPC 157 (10 ng/kg intragatrically immediately after unilateral adrenalectomy) produced a clear, reproducible separation of aortic spectra from control samples at all time points.
Sourcepmid-41599787· quoted verbatim from the abstract, emphasis added - Weight-normalized doses as published: 10 µg/kg; 10 ng/kg
Contrarily, BPC 157 therapy (10 µg/kg, 10 ng/kg sc) given at 3 min reperfusion times eliminated/attenuated venous hypertension (intracranial (superior sagittal sinus), portal, and caval) and aortal hypotension and counteracted the increases in organ lesions and malondialdehyde values (blood ˃ heart, lungs, liver, kidney ˃ brain, gastrointestinal tract).
Sourcepmid-38004420· quoted verbatim from the abstract, emphasis added - Weight-normalized doses as published: 10 µg/kg; 10 ng/kg
At 5 min after laurate injection, stable gastric pentadecapeptide BPC 157 was implemented as therapy (10 µg/kg, 10 ng/kg intraperitoneally or intragastrically).
Sourcepmid-37895979· quoted verbatim from the abstract, emphasis added - Weight-normalized doses as published: 10 ng/kg
BPC 157 therapy (10 µg, 10 ng/kg given intragastrically at 5 min or 90 min sotalol-time) effectively counteracted sotalol-occlusion/occlusion-like syndrome.
Sourcepmid-37513889· quoted verbatim from the abstract, emphasis added
Weight-normalized figures above are reproduced exactly as each study published them, for the species it studied. Dose does not scale linearly with body mass between species: metabolic rate, clearance and receptor density differ, and regulatory guidance uses allometric, not proportional, conversion. A mg/kg figure from a rat study is a fact about that rat study and nothing else.
What people report outside the literature
What circulates in user communities and clinic marketing, reported so a reader knows the figures and their origin. None of it has been tested in a trial, and none of it is a suggestion.
- Editorial synthesis from general knowledge
- Editorial synthesis from general knowledge
Reconstituting BPC-157: concentrations for common vial sizes
BPC-157 is sold as a freeze-dried powder dissolved before injection. The arithmetic is exact; the choice of what to draw is not made here.
Concentration is mass divided by volume. Adding bacteriostatic water to a vial gives the concentrations below; the last column is the volume that would contain 250 µg, purely as a worked example.
| Vial | Diluent added | Concentration | Volume holding 250 µg on a U-100 syringe |
|---|---|---|---|
| 5 mg | 2 mL | 2,500 µg/mL | 0.10 mL (10 units) |
| 5 mg | 2.5 mL | 2,000 µg/mL | 0.125 mL (12.5 units) |
| 10 mg | 2 mL | 5,000 µg/mL | 0.05 mL (5 units) |
| 10 mg | 4 mL | 2,500 µg/mL | 0.10 mL (10 units) |
Frequent errors: reading 5 mg as 5 mL; assuming the labelled mass is all peptide when certificates commonly show 80 to 95 percent net peptide content; using sterile rather than bacteriostatic water in a vial that will be drawn from for weeks. The reconstitution calculator shows its formula.
Editorial synthesis Written from general pharmacology, the development record and what is commonly reported; not a cited finding. Cited findings on this page carry their own tier.
Reconstitution mathematics
Lyophilised peptide is supplied as a mass in a vial and dissolved in a stated volume of diluent. Two figures follow from that and nothing else:
- Concentration = mass in vial ÷ diluent volume. A 5 mg vial in 2 mL is 2.5 mg/mL, or 2,500 mcg/mL.
- Volume for a given mass = that mass ÷ concentration. 250 mcg at 2,500 mcg/mL is 0.1 mL. On a U-100 insulin syringe, where 1 mL is 100 units, that is 10 units.
Study doses on this page are quoted as published, in the units the authors used. Converting between mcg, mg and IU, or between a mass and a syringe volume, is arithmetic; deciding a mass is not, and this page does not do it. The reconstitution calculator performs the conversion with the formula shown.
Reading a certificate of analysis
A certificate of analysis is a laboratory report on one batch. Reading it means checking four things in order.
- Identity. Mass spectrometry should report an observed molecular mass matching the peptide's theoretical mass within the instrument's stated tolerance. A certificate with no mass spectrometry, or one that lists only the expected value, has not confirmed identity.
- Purity. HPLC purity is the area of the main peak as a share of all peaks, at a stated wavelength. It says nothing about what the other peaks are, and it is not a measure of quantity.
- Quantity. Net peptide content, by amino acid analysis or UV, is the fraction of the vial's mass that is peptide rather than counter-ions and water. A 5 mg vial at 80% net content holds 4 mg of peptide, and every concentration figure above changes accordingly.
- Provenance. The batch number on the certificate should match the vial, the laboratory should be named and independent of the seller, and the test date should be recent.
This page rates no supplier and links to none. It describes how to read the document.
Equipment described in studies
Published human studies of injectable peptides report the same small set of materials: single-use insulin syringes with fixed needles, most often U-100 with 29 to 31 gauge needles; bacteriostatic water or sterile water for injection as diluent, with the choice stated in the methods; alcohol swabs; and refrigerated storage of reconstituted solution. Animal studies more often report intraperitoneal or intragastric administration and state the vehicle used. Where a study in this record's ledger names its materials or vehicle, that sentence appears under storage or routes above; where it does not, nothing is assumed here.
Storage and handling
As a powder, refrigerated at 2 to 8 °C or frozen at −20 °C, away from light and moisture; suppliers' stability statements vary, and a certificate of analysis dated near purchase matters more than a generic figure. Once dissolved in bacteriostatic water, commonly refrigerated and used within about four weeks. The "stable gastric" property in the compound's name describes survival in stomach acid, which is a statement about the molecule in vivo, not about a vial on a shelf. Cloudiness, colour or particles in a solution that was clear are reasons to discard it.
Editorial synthesis Written from general pharmacology, the development record and what is commonly reported; not a cited finding. Cited findings on this page carry their own tier.
Blood tests and monitoring that appear in the literature
Nothing has been validated for BPC-157. This is what the one human safety study measured and what reviews suggest watching, given the mechanism.
| Measure | Why it appears | When it is typically drawn |
|---|---|---|
| Cardiac, liver, kidney and thyroid panels | Measured in the 2025 infusion pilot; unchanged over 24 hours | Baseline, and after a course |
| Blood pressure | The nitric-oxide mechanism shifts it in rats | Baseline and periodically |
| Fasting glucose | Measured in the pilot; unchanged | Baseline |
| Complete blood count | General surveillance for an unregulated injectable | Baseline |
| Imaging or function of the injured tissue | The only way a healing claim could be checked | Before and after, if it is to mean anything |
Editorial synthesis Written from general pharmacology, the development record and what is commonly reported; not a cited finding. Cited findings on this page carry their own tier.
Common mistakes in how BPC-157 is discussed
- Counting publications as evidence. 228 papers sounds substantial; zero are randomized trials and the human total is about 26 people without a control group.
- Calling the pilots "trials". They are case series from one clinic. Their results are hypotheses, not findings.
- Treating gastric stability as oral efficacy. Surviving acid says nothing about reaching a tendon.
- Deriving the human dose from the rat dose. The rat figures are nanograms to micrograms per kilogram; the human figures are orders of magnitude higher and came from nowhere in particular.
- Assuming the Wolverine stack was studied in people. One rat tendon study tested the pair in 2026. That is the entire combination evidence.
- Calling it legal because it is sold. Not approved, restricted for compounding, prohibited in sport.
- Assuming the vial contains what the label says. An independent certificate of analysis matched to the batch is the only check.
Editorial synthesis Written from general pharmacology, the development record and what is commonly reported; not a cited finding. Cited findings on this page carry their own tier.
BPC-157 vs TB-500, GHK-Cu and KPV
The compounds it is most often compared with and stacked with. None is approved for these uses.
| Compound | Mechanism (proposed) | Human evidence | Status |
|---|---|---|---|
| BPC-157 | Gastric-juice protein fragment; NO system, growth-factor receptors, angiogenesis | Rats, extensively; 3 uncontrolled human pilots | Not approved; FDA 503A Category 2; WADA S0 |
| TB-500 (thymosin β4 fragment) | Actin-binding; cell migration and angiogenesis | Human trials of thymosin β4 in wound and eye conditions; TB-500 fragment itself less studied | Not approved; WADA S2 |
| GHK-Cu | Copper-binding tripeptide; gene-expression modulation, collagen synthesis | Human trials mostly topical, in skin | Cosmetic use; not approved as a drug; not prohibited by name |
| KPV | α-MSH fragment; anti-inflammatory via melanocortin signalling | Animal and cell studies; no human trials | Not approved |
The head-to-head page for BPC-157 vs TB-500 holds the one animal study that tested them together. GHK-Cu, KPV and TB-500 have their own records; the repair and anti-inflammatory class page lists them all.
Editorial synthesis Written from general pharmacology, the development record and what is commonly reported; not a cited finding. Cited findings on this page carry their own tier.
Other compounds in its class
Same class in the registry: GHK-Cu, KPV, TB-500. Each row shows what that compound's own record states; nothing is inferred across rows. Head-to-head evidence, where any exists, is on the comparison page: BPC-157 vs TB-500.
| Compound | Tier | Publications | RCTs | Record |
|---|---|---|---|---|
| BPC-157 | Observational, human | 228 | 0 | draft |
| GHK-Cu | Human clinical trial | 169 | 1 | draft |
| KPV | Animal, preclinical | 138 | 0 | draft |
| TB-500 | Human clinical trial | 1,257 | 7 | draft |
The Wolverine stack: BPC-157 with TB-500
Whether any indexed study tested BPC-157 together with the compounds it is commonly combined with. A count of zero is the finding, not a gap in this page.
- 3 indexed studies mention BPC-157 together with TB-500. BPC-157 + TB-500
- 1 indexed study mentions BPC-157 together with TB-500 and GHK-Cu. BPC-157 + TB-500 + GHK-Cu
- No indexed study tested BPC-157 with GHK-Cu and KPV and TB-500. GHK-Cu + KPV + BPC-157 + TB-500
Is BPC-157 approved, banned or restricted?
Registry facts only. Jurisdiction-level status, compounding categories and sport prohibitions need their own cited documents before they appear here.
- Registry entry
-
BPC-157 is prohibited under the S0 Non-Approved Substances category of the List.
Sourceusada-bpc-157-prohibited· quoted verbatim from the abstract - Source
usada-bpc-157-prohibited - Editorial synthesis from general knowledge · primary document to be added to the ledger
Open questions and limitations
What is genuinely unknown, stated plainly. A missing field is not evidence that the outcome is safe, effective, or established.
- No study in this record's ledger reports dose-escalation schedules for BPC-157.
- No study in this record's ledger reports exclusion criteria for BPC-157.
- No study in this record's ledger reports onset or duration of effects for BPC-157.
- No randomized controlled trial of BPC-157 is indexed in Europe PMC.
Questions people ask
How long is BPC-157's half-life?
No indexed study reports a half-life for BPC-157 in people. The 2025 intravenous pilot reported plasma levels returning to baseline within 24 hours after infusion in two adults, which bounds it but does not measure it. Community claims of a four-hour half-life have no published source.
What is BPC-157?
A synthetic 15-amino-acid fragment of a protein found in human gastric juice, studied since the 1990s mostly in rats for healing of tendon, muscle, bone, gut and nerve injury. It is not an approved medicine.
What does BPC-157 do?
In rats it speeds healing in many injury models and modulates blood pressure through the nitric oxide system. In people, three small uncontrolled pilots from one clinic report tolerability and symptom improvement; no controlled trial has measured any effect.
What is the Wolverine stack?
The community name for BPC-157 combined with TB-500. One 2026 rat study tested the pair on Achilles tendon healing; no human study has. The stack page holds what exists.
What dose of BPC-157 did studies use?
Rat studies mostly used 10 micrograms or 10 nanograms per kilogram. The only human dosing data are a two-person intravenous pilot at 10 and 20 milligrams and local injections in two small case series. The 200 to 500 microgram figures that circulate did not come from any study.
What are the side effects of BPC-157?
The two-person infusion pilot reported none over 24 hours. Community reports describe injection-site redness, dizziness, nausea, fatigue and headache. Long-term safety, and the theoretical concern about promoting blood-vessel growth near a tumour, have not been studied.
Is BPC-157 FDA approved?
No. In 2023 the FDA placed it in Category 2 of its compounding bulk-substances list, the category for significant safety concerns, citing immunogenicity, impurities and the lack of human safety data.
Is BPC-157 banned in sport?
Yes. USADA states it is prohibited under WADA category S0, non-approved substances, at all times.
Can BPC-157 be taken orally?
Animal studies used intragastric dosing and drinking water, relying on the peptide's stability in stomach acid. Whether oral doses reach injured tissue in people has not been measured; there is no human absorption study.
How long is BPC-157's half-life?
Unmeasured in people. The infusion pilot found plasma levels back to baseline within 24 hours, which bounds it. The four-hour figure that circulates has no published source.
How long does BPC-157 take to work?
No human study has measured onset. Community reports describe pain changes within one to two weeks and courses of four to six weeks, a period over which most soft-tissue injuries improve on their own.
BPC-157 vs TB-500: which is better?
They act by different proposed mechanisms and neither has controlled human evidence for healing. TB-500's parent molecule, thymosin β4, has been in human trials; BPC-157 has not. The comparison page lines up what each record states.
Does BPC-157 cause cancer?
Unknown in either direction. It promotes new blood-vessel growth and growth-factor signalling in animals, which is why the concern exists; no study has tested it in the presence of a tumour.
Does BPC-157 affect blood pressure?
In rats it counteracts both induced hypertension and hypotension through the nitric oxide system. In the two-person human pilot, cardiovascular markers were unchanged over 24 hours. Interactions with blood-pressure drugs are unstudied.
How should BPC-157 be stored?
As a powder, refrigerated or frozen away from light; once dissolved in bacteriostatic water, commonly refrigerated and used within about four weeks. Discard cloudy or discoloured solution.
How many human studies of BPC-157 exist?
Three, all from one clinic in Orlando, all uncontrolled: a 2021 knee injection series, a 2024 series of 12 women with interstitial cystitis, and a 2025 infusion safety pilot in two adults. About 26 people in total.
Why is almost all BPC-157 research from one laboratory?
The compound was developed and has been studied for three decades principally by a group in Zagreb, which accounts for most of the 228 publications. Independent replication is limited, and recent reviews name that concentration as a limitation of the evidence base.
Sources
Full citations. Every claim above links to one of these by its id.
- 1Peptide Supplements and Their Therapeutic Applications in Sports Medicine.
pmid-42578445· · peer-reviewed - 2Effects of BPC-157 and TB-500 on Achilles tendon healing in rats: A histopathological and biomechanical study.
pmid-42542926· · peer-reviewed - 3BPC-157 and Its Novel Hybrid Analogs as Inhibitors of Acetylcholinesterase.
pmid-42278509· · peer-reviewed - 4Protective effects of BPC 157 in rats with experimentally induced lower extremity ischemia-reperfusion injury.
pmid-42204242· · peer-reviewed - 5Endothelium-Dependent Nitric Oxide-Mediated Vasorelaxant Effects of BPC 157 in Human Internal Mammary Artery.
pmid-42123221· · peer-reviewed - 6
- 7
- 8
- 9Safety of Intravenous Infusion of BPC157 in Humans: A Pilot Study.
pmid-40131143· · peer-reviewed - 10
- 11
- 12Compounded glucagon-like peptide-1 receptor agonists for weight loss: the direct-to-consumer market in Colorado.
pmid-39776466· · peer-reviewed
Show the remaining 24 sources
- 13
- 14
- 15
- 16Antiarrhythmic Sotalol, Occlusion/Occlusion-like Syndrome in Rats, and Stable Gastric Pentadecapeptide BPC 157 Therapy.
pmid-37513889· · peer-reviewed - 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24Stable Gastric Pentadecapeptide BPC 157 Therapy of Rat Glaucoma.
pmid-35052769· · peer-reviewed - 25Stable Gastric Pentadecapeptide BPC 157 as a Therapy for the Disable Myotendinous Junctions in Rats.
pmid-34829776· · peer-reviewed - 26
- 27
- 28BPC 157 Therapy and the Permanent Occlusion of the Superior Sagittal Sinus in Rat: Vascular Recruitment.
pmid-34203464· · peer-reviewed - 29Rat inferior caval vein (ICV) ligature and particular new insights with the stable gastric pentadecapeptide BPC 157.
pmid-29510201· · peer-reviewed - 30
- 31Stable gastric pentadecapeptide BPC 157-NO-system relation.
pmid-23755725· · peer-reviewed - 32Toxicity by NSAIDs. Counteraction by stable gastric pentadecapeptide BPC 157.
pmid-22950504· · peer-reviewed - 33
- 34Modulatory effect of gastric pentadecapeptide BPC 157 on angiogenesis in muscle and tendon healing.
pmid-20388964· · peer-reviewed - 35
- 36BPC-157: Experimental Peptide Creates Risk for Athletes (U.S. Anti-Doping Agency, accessed 2026-09-24)
usada-bpc-157-prohibited· · regulatory
Reference card
- Compound
- BPC-157, repair and anti inflammatory
- Evidence tier
- Observational, human
- Indexed publications
- 228 · 0 RCTs · 0 other clinical trials
- Approval
- not approved · max phase 1
- Routes reported
- intragastric, intraperitoneal, intravenous, oral, subcutaneous, topical
- Reviewed
- Adam Mirando, PharmD,
Study figures are as published in each source and are not recommendations. Print or save this card with its date.
Last reviewed and what changed
Newest first. These are the record's own revision dates, and the same dates feed the sitemap.
- · Reviewed by Adam Mirando, PharmD, on 2026-09-25.
- · Misattribution check: evidence_table (pmid-42578445): a review's collective sentence about six peptides is not one compound's evidence row. The sources stay in the ledger; only the claims that put another agent's result under this compound were removed.
- · Written guide added (9 editorial sections), FAQ expanded to 16, mechanism and reported-use sections, USADA added to the ledger with two verbatim regulatory claims (WADA S0; not approved, no efficacy trials), FDA Category 2 statement pending its document, intent-driven H1 and title. Second page through the content loop.
- · Claims drafted extractively from 35 ledger sources by scripts/draft_claims.py: 35 claims, 25 evidence-table rows. Status researched -> draft.
- · Claims drafted extractively from 35 ledger sources by scripts/draft_claims.py: 35 claims, 25 evidence-table rows. Status researched -> draft.
- · Claims drafted extractively from 35 ledger sources by scripts/draft_claims.py: 37 claims, 25 evidence-table rows. Status researched -> draft.
- · Claims drafted extractively from 35 ledger sources by scripts/draft_claims.py: 36 claims, 25 evidence-table rows. Status researched -> draft.
- · Evidence fetched from Europe PMC and ChEMBL by scripts/fetch_evidence.py; claims not yet written.