Tissue repair
BPC-157
Also called Body Protection Compound-157, PL 14736, PL-10, bepecin
BPC-157 is a lab-made chain of 15 amino acids based on part of a protein found in human stomach juice. It is popular in sports and wellness circles because many animal studies suggest it helps tendons, muscles, gut lining and other tissues heal. Human research is very thin: a few tiny pilot studies and no completed controlled trials.
Overview
BPC-157 is a lab-made chain of 15 amino acids based on part of a protein found in human stomach juice. It is popular in sports and wellness circles because many animal studies suggest it helps tendons, muscles, gut lining and other tissues heal. Human research is very thin: a few tiny pilot studies and no completed controlled trials.
How it works
Proposed, not established in humans. Animal and cell studies link BPC-157 to increased new blood vessel growth (VEGFR2 signaling), effects on the nitric oxide system (eNOS), activation of cell-migration pathways (FAK-paxillin) in tendon cells, and increased growth hormone receptor expression in tendon fibroblasts 1. Reviewers note these findings come largely from one research group and that the pro-angiogenic activity is also a theoretical safety concern 12.
What research shows
- Hundreds of rodent studies, mostly from the Zagreb group, report faster healing of tendon, ligament, muscle, bone, gut and other injuries; independent replication is limited 12.
- Retrospective chart review of knee pain (17 treated, 16 reached for follow-up; mostly one 4 mg intra-articular injection, first 4 patients also got thymosin beta-4): 14 of 16 reported improvement; no control group, subjective outcomes, so effects can't be attributed to BPC-157 32.
- Uncontrolled pilot in interstitial cystitis (n=12 women who had failed pentosan polysulfate; 10 mg total injected into the bladder wall during one cystoscopy): 10 of 12 reported full symptom resolution and no adverse events were reported; no placebo group, single private clinic 4.
- IV safety pilot (n=2 healthy adults; infusions at doses up to 20 mg): no adverse effects were reported; far too small to establish safety 52.
- Phase I NCT02637284 (oral tablets, 2015) has no posted results and its registry status is not current; a phase II hamstring-strain trial (NCT07437547) was reportedly registered in February 2026 with no results yet 67.
Doses studied in people
| Study or label | Dose used | Source |
|---|---|---|
| Retrospective knee-pain case series (n=16; uncontrolled) | Single intra-articular knee injection, typically 4 mg (some patients 2-4 mg combined with thymosin beta-4) | 3 |
| Uncontrolled pilot, interstitial cystitis (n=12 women) | 10 mg total, injected into the bladder wall during a single cystoscopy | 4 |
| IV safety pilot in healthy adults (n=2) | Intravenous infusion at doses up to 20 mg | 5 |
Only tiny uncontrolled pilot studies report human doses; no dose has been shown safe or effective in a controlled trial, and doses circulating online come from rodent extrapolation.
Read this first: these are the amounts given to participants in published studies or written on official prescribing labels, reported for reference. They are not recommendations. Trial doses were chosen for specific patients under medical supervision, and a dose that is safe in one person can be harmful in another.
Weekly protocol
How the schedule looks week by week. Each chart says where it comes from: a prescribing label, a clinical trial, or a protocol commonly reported online.
Commonly reported injection protocol
Commonly reported, not studiedOne week
Once daily · Subcutaneous injection
Syringe units (U-100)
Dose by week
Supplies for one course (estimate)
Counts only. This site does not sell or link to supplies.
Reference only, not a recommendation. Charts marked "commonly reported" describe what public sources say people use. They have not been tested in trials, and their safety and effect are unknown. Label and trial schedules were set for specific patients under medical supervision. Use the calculator only to understand the arithmetic.
Vial math
Many research vials hold 5 or 10 mg of powder. This table shows how much ends up in each mark on a U-100 insulin syringe for common amounts of added liquid. It is arithmetic only, not a dose.
| Vial | Liquid added | Concentration | Per unit (0.01 mL) | |
|---|---|---|---|---|
| 5 mg | 1 mL | 5 mg/mL | 50 mcg | Open in calculator |
| 5 mg | 2 mL | 2.5 mg/mL | 25 mcg | Open in calculator |
| 5 mg | 3 mL | 1.67 mg/mL | 16.7 mcg | Open in calculator |
| 10 mg | 1 mL | 10 mg/mL | 100 mcg | Open in calculator |
| 10 mg | 2 mL | 5 mg/mL | 50 mcg | Open in calculator |
| 10 mg | 3 mL | 3.33 mg/mL | 33.3 mcg | Open in calculator |
More sizes: all vial sizes · How this works: Syringes and units · Reconstitution guide.
Safety
- Long-term safety in humans is unknown; the published human exposure is a few dozen people in uncontrolled studies 12.
- FDA has flagged possible immunogenicity (immune reactions) for some routes and says it has little or no safety information for the routes people use 8.
- Because it promotes blood-vessel growth in animals, reviewers call a tumor-promoting effect a plausible, untested hazard 2; FDA has cited contamination, allergic reaction and tumor-growth concerns 13.
- FDA reviewers said they could not adequately characterize what "BPC-157" products actually contain, and reviewed three adverse event reports with unclear causation 11.
- Gray-market products are sold as "research chemicals" with no quality control; contents and purity are not assured 13.
Report side effects of any drug or product to the FDA through MedWatch. For a possible poisoning in the US, call Poison Control at 1-800-222-1222.
Legal status
- FDA
- Not FDA-approved for any use 12.
- Compounding
- Placed in 503A Category 2 (significant safety risks) in 2023; removed from Category 2 around April 22, 2026 after the nomination was withdrawn. Removal does not make it legal to compound under 503A 9. On July 23, 2026 FDA's Pharmacy Compounding Advisory Committee voted 8-6 (1 abstention) to recommend adding it to the 503A bulks list (reviewed for ulcerative colitis), against FDA staff advice; this is advisory only and rulemaking is required 101112. An "interim access policy" (likely enforcement discretion) was sent to the White House/OMB in mid-October 2026 and had not been issued as of this check 1213. Update: on October 28, 2026 HHS issued an interim enforcement discretion policy covering BPC-157: HHS does not intend to take action against 503A pharmacies, federal facilities or physicians that compound it under set conditions (patient-specific prescription, FDA-registered ingredient source with a certificate of analysis, single ingredient, adverse-event reporting), limited to injection under the skin or into muscle, by mouth, or on the skin. This is not FDA approval, is non-binding, and applies only until a final rule on the 503A bulks list 1718.
- Sports (WADA)
- Prohibited at all times; named as an example under S0 (Non-Approved Substances) on the 2026 list 14.
- Other
- Not a DEA-controlled substance. Some state pharmacy boards (e.g. Ohio) have taken enforcement action over compounded BPC-157 10.
Rules change often. See Legal status of peptides for how these categories work.
History
Developed by Predrag Sikirić and colleagues at the University of Zagreb, Croatia, from the early 1990s. The drug company Pliva tested it as PL 14736 for inflammatory bowel disease in the early 2000s; only brief abstracts report phase I safety data 2. A phase I trial of oral BPC-157 tablets (PCO-02/bepecin) registered in 2015 (NCT02637284) never posted results; reviewers describe it as cancelled 26. FDA placed it in 503A Category 2 in 2023, then moved it off that list in April 2026 after the nomination was withdrawn 89.
Common questions
Is BPC-157 FDA-approved?
No. It is not FDA-approved for any use 12.
Can pharmacies legally compound BPC-157?
FDA moved it off its Category 2 safety-risk list in April 2026, but that removal did not make it legal to compound 9. In July 2026 an FDA advisory committee voted 8-6 to recommend allowing it, against FDA staff advice, but the vote is advisory and rulemaking is still required 101112. Update: on October 28, 2026 HHS issued an interim, non-binding policy saying it does not intend to take action against licensed pharmacies, federal facilities or physicians that compound BPC-157 under set conditions, including a patient-specific prescription. This is not FDA approval, and it applies only until a final rule on the 503A bulks list 1718.
What does the research on BPC-157 show?
What doses were used in human studies?
What are the safety concerns with BPC-157?
Is BPC-157 banned in sport?
Yes. WADA prohibits it at all times and names it as an example under S0 (Non-Approved Substances) on the 2026 list 14.
Sold in blends and stacks
Related compounds
Pentadeca Arginate (PDA)
PDA · pentadecapeptide arginate
Pentadeca arginate, or PDA, is a product sold mainly by wellness clinics and compounders as an alternative to BPC-157.
TB-500 / Thymosin beta-4
Thymosin beta-4 · Tβ4
Thymosin beta-4 (Tβ4) is a natural 43-amino-acid protein found in almost every cell, where it helps control the cell's internal skeleton and cell movement.
GHK-Cu
Copper tripeptide-1 · Copper peptide
GHK-Cu is a tiny three-amino-acid peptide (GHK) bound to copper.
KPV
Lys-Pro-Val · alpha-MSH (11-13)
KPV is a very small peptide made of three amino acids (lysine, proline, valine).
Sources
- Józwiak M, Bauer M, Kamysz W, Kleczkowska P. Multifunctionality and Possible Medical Application of the BPC 157 Peptide - Literature and Patent Review. Pharmaceuticals 2025;18(2):185. doi:10.3390/ph18020185 Journal
- Józwiak M, et al. Reply to Sikiric et al. (BPC 157). Pharmaceuticals 2025;18(10):1451. doi:10.3390/ph18101451 Journal
- Lee E, Padgett B. Intra-articular injection of BPC 157 for multiple types of knee pain. Altern Ther Health Med 2021;27(4):8-13. PMID 34324435 Journal
- Lee E, Walker C, Ayadi B. Effect of BPC-157 on symptoms in patients with interstitial cystitis: a pilot study. Altern Ther Health Med 2024;30(10):12-17. PMID 39325560 Journal
- Lee E, Burgess K. Safety of intravenous infusion of BPC157 in humans: a pilot study. Altern Ther Health Med 2025;31:20-24. PMID 40131143 Journal
- ClinicalTrials.gov NCT02637284 - PCO-02 (oral BPC-157 tablets, PharmaCotherapia) phase I safety and pharmacokinetics trial in healthy volunteers; no results posted ClinicalTrials.gov
- ClinicalTrials.gov NCT07437547 - BPC-157 phase II hamstring strain trial (reported as registered Feb 2026; record not opened in this check) ClinicalTrials.gov
- FDA - Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks (withdrawn-nominations table, current as of April 22, 2026) Regulatory
- Frier Levitt - FDA to Remove 12 Popular Peptides from the Category 2 List (Apr 2026) Regulatory
- McDermott Will & Emery - Bulk List Bound? PCAC Backs Majority of Peptides in Two-Day Public Meeting (Jul 27, 2026) Regulatory
- RAPS - FDA advisory committee backs two controversial peptides (Jul 2026) Regulatory
- Holland & Knight - Peptides at a Crossroads: What Wellness Providers Need to Know (Oct 16, 2026) Regulatory
- STAT - Trump administration advances plan for peptides (Oct 15, 2026) Regulatory
- World Anti-Doping Agency - Prohibited List 2026 Regulatory
- Probes & Drugs - BPC-157 (PD058883): CAS 137525-51-0; cross-references ChEMBL CHEMBL4297358, DrugBank DB11882 Journal
- DrugMAP (IDRB) - BPC-157 drug record: formula C62H98N16O22, CAS 137525-51-0, PubChem CID 9941957 Journal
- Federal Register (public inspection): HHS notice, Enforcement Discretion Policy Regarding 503A Compounding Using Certain Peptide Bulk Drug Substances (filed Oct 28, 2026) Regulatory
- HHS: Enforcement Discretion Policy Regarding 503A Compounding Using Certain Peptide Bulk Drug Substances (policy text with appendices) Regulatory
Last reviewed 2026-10-29 · How we research · Found an error? See our corrections policy.