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To view digital features for this article, go to Introduction Some scientists have proposed that the skin cannot be treated fully from the inside to the outside owing to the anatomy and physiology of dermal structures [1]

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Unlike TB-500 (Thymosin Beta-4 fragment), which acts primarily via G-actin sequestration and endothelial progenitor cell mobilization, BPC-157 exerts its action via an NO-dependent pathway and VEGFR2 modulation two distinct but potentially complementary mechanisms, which is why research protocols sometimes combine both peptides (synergy documented in animal tendon repair models)

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