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It is similar to other opioids like oxycodone and morphine but is significantly more potent

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Moreover, some single nucleotide polymorphisms (SNPs) in the PPARGC1A gene for PGC-1 are associated with increased risk of MASH development in both adults and children

Reported Adverse Effects Reported adverse effects from online forums cited in a 2025 systematic review (PMC12313605) included: Anxiety and panic attacks Depression and anhedonia Insomnia Heart palpitations Fatigue and weakness Loss of appetite These anecdotal reports cannot be verified as directly caused by BPC-157 versus contamination, incorrect dosing, or concurrent conditions, but they raise concerns that the peptide might paradoxically worsen mental health in some individuals