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The standard recommendation is one 500 mcg capsule twice daily on an empty stomach

Pre-clinical research conducted primarily in animal models informs the hypotheses for its use, but no large randomized controlled trials in humans have confirmed efficacy for any outcome - including gut-lining support, tissue-related processes, or any other claimed mechanism

however, since both receptors share a high degree of structural and functional homology, the IGF1R can bind insulin and the IR can bind the IGFs with reduced affinity

Journal of Aerosol Medicine and Pulmonary Drug Delivery 32 (3), A19 (2019)

and it has been a success. In general, if you have issues tolerating certain foods it would be a good idea to consume BPC-157 if you are eating those, much like if you had lactase enzymes to support the breakdown of milk