Because all of these organizations use WADA and USADA banned substances list, and BPC-157 is currently classified as Not FDA approved Classified as experimental Peptide with potential performance/recovery effects It will be interesting to see how this changes if/when it gets changed to Category 1, likely later this year by the FDA
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The same review discusses its role in tissue protection, wound healing, vascular function, and inflammatory modulation
Drmic et al., 2018
Decreased Productivity: Persistent pain can affect your work performance and focus
By the same token, because there is not an FDA-approved version out there, theres no competition risk