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No clinical trial has linked BPC-157 to insomnia, but its documented effects on dopamine D2 and serotonin pathways provide a plausible mechanism for sleep disruption (Sikiri et al., J Physiol Paris, 1999)

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Neither compound has a clear superiority in clinical outcomes the choice is typically guided by physician preference, patient convenience, and regulatory context at the time of prescribing

Results without exercise are possible but suboptimal

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