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The FDA isn't bound by the committee's recommendations but typically follows them

Its absurd this agency is even an agency for protecting the health and welfare of our country

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In the aforementioned study by Hsieh and collaborators (Hsieh et al., 2017) that focused on the ischemic muscle model (achieved via removal of the femoral artery), the pro-angiogenic effects of BPC 157 are evident, given the increased expression, internalization of vascular endothelial growth factor receptor 2 (VEGFR2), and the activation of the VEGFR2-Akt-eNOS signaling pathway (Hsieh et al., 2017)

no pharmaceutical company pursued FDA drug approval after the negative results