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Both scenarios are valid depending on the underlying health context

[6] Consult a physician before use

The specific thresholds that should prompt dose reduction or discontinuation include: ALT or AST elevation exceeding 3 times the patient's baseline value, new or worsening coagulopathy (INR increase of 0.5 or more from baseline), albumin decline below 2.5 g/dL, or new clinical signs of hepatic decompensation such as worsening ascites, encephalopathy, or jaundice [5]

Beyond angiogenesis, research points to other mechanisms: Cell Migration and Proliferation: Studies suggest BPC-157 can stimulate the outgrowth of fibroblastscells responsible for creating collagen and the extracellular matrix that forms the structure of new tissue