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Therefore, the purpose of this scoping review is to characterize the current evidence base for peptide therapies relevant to musculoskeletal care, with emphasis on BPC-157, thymosin beta-4 derivatives, and related agents, and to define safety considerations and perioperative implications for orthopaedic surgical patients, including those undergoing TJA

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Where the picture suggests an endocrine or metabolic driver, Perfect B refers the patient to a prescribing physician for hormonal and metabolic labs and any medication decision that follows