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Compounds · Repair & healing peptides · continued

Reading a preclinical wound-healing model and its relevance to a human tendon posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

KA
k.asanteTL215 Nov 2024#61
CC
crossref_checkTL3Wiki editor15 Nov 2024#62
ch.correia, post #45: For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use. Go to post

TB-500 is usually the 7-residue actin-binding fragment of thymosin beta-4, not the full 43-residue protein. The two are routinely conflated in supplier documentation and in the literature. Evidence about the full protein does not automatically apply to the fragment.

13 likes in reply to #45 20mo
JF
j.falkTL2 Moderator15 Nov 2024#63

This follows post #60 rather than contradicting it.

Oral versus injected administration claims for BPC-157: the preclinical work studied injection. Oral claims are common in supplier marketing and poorly supported by published evidence. If you are comparing orality between compounds, that is a distinction worth noting.

26 likes 20mo
V
VPoulsenTL3Regular15 Nov 2024#64

Reading a preclinical wound-healing model: the model shows whether a mechanism is plausible in a specific context. It does not show magnitude of effect in humans, does not show safety profile in humans, and does not show whether the effect survives in a more complex biological system. That is not a criticism of preclinical work — it is what preclinical work is for.

0 likes 20mo
FW
f.weissTL2 Moderator16 Nov 2024#65
j.fonseca, post #40: For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use. Go to post

What would change the position on repair peptides: adequately powered, published, peer-reviewed randomised controlled human trials with pre-specified outcomes. That is the standard applied to every other therapeutic claim on this site and it is the standard applied here.

2 likes in reply to #40 20mo
WN
w.novakTL3Regular16 Nov 2024#66
y.adeyemi, post #55: For anyone arriving from search engines: this subcategory discusses published preclinical work and the absence of published clinical work. It does not endorse or recommend these compounds. Go to post

On post #62 — agreed on the reasoning, with one qualification.

For anyone arriving from search engines: this subcategory discusses published preclinical work and the absence of published clinical work. It does not endorse or recommend these compounds.

8 likes in reply to #55 20mo
NK
n.kravchenkoTL2 Moderator16 Nov 2024#67

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

19 likes 20mo
CO
c.okaforTL3Regular16 Nov 2024#68

BPC-157: the preclinical literature is extensive, mostly from a small number of research groups, and reports effects across a wide range of injury models. The breadth of reported effects is itself worth noting — a compound that improves outcomes in tendon, muscle, gut, nerve and bone through a single mechanism would be remarkable, and remarkable claims deserve proportionate scrutiny.

0 likes 20mo
SA
s.achebeTL2 Moderator16 Nov 2024#69
s.cardoso, post #21: post #20 answers the question as asked. The question underneath it is different. What would change the position on repair peptides: adequately powered, published, peer-reviewed randomised controlled human trials with pre-specified outcomes. That is the standard applied to every other therapeutic claim on this site and it is the standard… Go to post

post #68 is right about the mechanism and I think understates the practical bit.

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

0 likes in reply to #21 20mo
K
KnowltonTL316 Nov 2024#70
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MSaarinenTL3Regular16 Nov 2024#71

Why plausible mechanism is not evidence of effect: a mechanism that is chemically or biologically plausible can fail in practice for dozens of reasons — bioavailability, off-target effects, metabolism, clearance, or simply that the mechanism does not do what the theory predicts in a living system. Plausibility is necessary for hope but not sufficient for evidence.

32 likes 20mo
BB
b.brandtTL2 Moderator16 Nov 2024#72

Picking up post #69: that is the part I would want checked first.

Analytical identity of BPC-157: a 15-residue peptide with an unambiguous mass (≈1419.5 Da). Identity confirmation by LC-MS is trivially easy, which means there is no excuse for an unverified identity on this compound.

16 likes 20mo
CN
cannula_notesTL2Member17 Nov 2024#73

Publication patterns in the BPC-157 literature: a large proportion of the evidence comes from one research group. That is not necessarily wrong — one group can do excellent work — but it is worth noting when evaluating the breadth of support for a claim.

6 likes 20mo
AW
am.wikstromTL2 Moderator17 Nov 2024#74
isotonic_sheet, post #52: Stability of BPC-157 in solution: what has been measured in published work covers specific formulations under specific conditions. Extrapolating to a reconstituted preparation in a different diluent at a different concentration is an extrapolation, acknowledged as one. Go to post

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

1 like in reply to #52 20mo
I
IbrahimoviTL2Member17 Nov 2024#75

I read post #73 twice before replying, because I had assumed the opposite.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

24 likes 20mo
ZN
z.nakamuraTL2 Moderator17 Nov 2024#76

This follows post #73 rather than contradicting it.

Stability of BPC-157 in solution: what has been measured in published work covers specific formulations under specific conditions. Extrapolating to a reconstituted preparation in a different diluent at a different concentration is an extrapolation, acknowledged as one.

11 likes 20mo
D
DSakamotoTL3Regular17 Nov 2024 · edited#77

The absence of adequately powered published randomised human trials is the central fact about BPC-157. This site states that plainly rather than hedging. Mechanistic plausibility does not substitute for it.

3 likes 20mo
CK
c.kuuselaTL2 Moderator17 Nov 2024#78
j.falk, post #63: This follows post #60 rather than contradicting it. Oral versus injected administration claims for BPC-157: the preclinical work studied injection. Oral claims are common in supplier marketing and poorly supported by published evidence. If you are comparing orality between compounds, that is a distinction worth noting. Go to post

The absence of adequately powered published randomised human trials is the central fact about BPC-157. This site states that plainly rather than hedging. Mechanistic plausibility does not substitute for it.

0 likes in reply to #63 20mo
CC
c.correiaTL2 Moderator17 Nov 2024#79

Coming back to post #77, because the follow-up matters more than the original answer.

Reading a preclinical wound-healing model: the model shows whether a mechanism is plausible in a specific context. It does not show magnitude of effect in humans, does not show safety profile in humans, and does not show whether the effect survives in a more complex biological system. That is not a criticism of preclinical work — it is what preclinical work is for.

17 likes 20mo
AA
a.almeidaTL2 Moderator17 Nov 2024#80

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

7 likes 20mo
EC
excursion_checkTL3Regular18 Nov 2024#81
s.cardoso, post #21: post #20 answers the question as asked. The question underneath it is different. What would change the position on repair peptides: adequately powered, published, peer-reviewed randomised controlled human trials with pre-specified outcomes. That is the standard applied to every other therapeutic claim on this site and it is the standard… Go to post

The distinction between "no evidence it works" and "evidence it does not work": we have the first for these compounds. That is genuinely different from the second and the distinction matters, but it also means treatment plans based on these compounds are being built on theoretical grounds, not empirical ones.

8 likes in reply to #21 20mo
AH
a.hartmannTL218 Nov 2024#82
TT
taper_tableTL3Regular18 Nov 2024#83

What would change the position on repair peptides: adequately powered, published, peer-reviewed randomised controlled human trials with pre-specified outcomes. That is the standard applied to every other therapeutic claim on this site and it is the standard applied here.

0 likes 20mo
MA
m.agyemanTL2 Moderator18 Nov 2024#84

Worth separating two things that post #80 runs together.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

2 likes 20mo
AR
ambient_reviewTL3Regular18 Nov 2024#85

Picking up post #82: that is the part I would want checked first.

Oral versus injected administration claims for BPC-157: the preclinical work studied injection. Oral claims are common in supplier marketing and poorly supported by published evidence. If you are comparing orality between compounds, that is a distinction worth noting.

13 likes 20mo
PO
pe.onwukaTL2 Moderator18 Nov 2024#86

Stability of BPC-157 in solution: what has been measured in published work covers specific formulations under specific conditions. Extrapolating to a reconstituted preparation in a different diluent at a different concentration is an extrapolation, acknowledged as one.

27 likes 20mo
VD
vial_deskTL3Regular18 Nov 2024#87

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

0 likes 20mo
EM
e.mensaTL2 Moderator18 Nov 2024 · edited#88
excursion_check, post #81: The distinction between "no evidence it works" and "evidence it does not work": we have the first for these compounds. That is genuinely different from the second and the distinction matters, but it also means treatment plans based on these compounds are being built on theoretical grounds, not empirical ones. Go to post

TB-500 is usually the 7-residue actin-binding fragment of thymosin beta-4, not the full 43-residue protein. The two are routinely conflated in supplier documentation and in the literature. Evidence about the full protein does not automatically apply to the fragment.

4 likes in reply to #81 20mo
CD
c.dahlbergTL219 Nov 2024#89
JB
j.baptistaTL2 Moderator19 Nov 2024#90

I read post #88 twice before replying, because I had assumed the opposite.

Publication patterns in the BPC-157 literature: a large proportion of the evidence comes from one research group. That is not necessarily wrong — one group can do excellent work — but it is worth noting when evaluating the breadth of support for a claim.

0 likes 20mo