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FDA staff recommends against adding any of these 7 peptides to the 503A Bulks List: BPC-157 (free base/acetate) KPV (free base/acetate) TB-500 (free base/acetate) MOTS-c (free base/acetate) Emideltide/DSIP (free base/acetate) Epitalon (free base/acetate) Semax (free base/acetate) What it means: The 503A Bulks List allows compounding pharmacies to create customized versions for patients with a prescription

Nanocarrier systems can protect bioactive peptides from gastrointestinal degradation (157)

If heart failure occurs, dosage reduction or discontinuation of TZD must be considered