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Traditional Chinese medicine (TCM) has rich experience in the treatment of DCM, and its characteristics of multi-target, multi-pathway, multi-component, and few side effects can effectively deal with the complexity and long-term nature of DCM

Myocardial infarction (one isoprenaline challenge) and re-infarction (two isoprenaline subsequent challenges) in isoprenaline-treated rats (75 mg/kg sc (gray bars), 150 mg/kg sc (white bars)) Biomedicines 2022,10, 265 20 of 38 and heart lesion microscopy presentation, A- HEART MICROSCOPY

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Key findings across components include: BPC-157: Enhanced load-to-failure measurements and improved collagen organization TB-500: Enhanced cellular migration and actin polymerization in tendon fibroblasts GHK-Cu: Increased collagen synthesis and improved tissue remodeling KPV: Potential to reduce inflammatory responses that delay tendon healing Combined mechanisms suggest comprehensive support for all phases of tendon repair Studies demonstrated dose-dependent effects with optimal responses observed at 10 mcg/kg for BPC-157 in rodent models, with TB-500 enhancing cellular recruitment and GHK-Cu supporting matrix quality[11]

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