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The article ties BPC-157, provider access back to patient education and clinical context

They simply cannot reach the brain in therapeutic concentrations

This is because hemoglobin A1C (a measure of blood sugar control) and sex hormone-binding globulin (SHBG) are inversely correlated: as A1C improves with weight loss, SHBG levels may rise, which can bind more testosterone and reduce the amount that circulates freely in the bloodstream

These are significant exemptions, and they are what make patient-specific compounding legally viable

The most common mechanisms they use include: Stimulating Growth Hormone Production: Several peptides, such as CJC-1295 and Sermorelin, stimulate the pituitary gland to release growth hormones