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Prescribers initiating BPC-157 in patients with Child-Pugh A or B hepatic impairment should document: (1) the clinical rationale for peptide therapy, (2) the absence of an FDA-approved alternative for the target condition, (3) baseline hepatic function with planned monitoring intervals, and (4) the patient's informed consent acknowledging the investigational nature of the therapy and the specific evidence limitations in their population

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Arch Dermatol 129:971978 Kishi K, Okabe R, Ninomiya E, Konno E, Hattori N, Katsube K et al (2009) Early serial Q-switched ruby laser therapy for medium-sized to giant congenital melanocytic naevi

Intramuscular injection would change absorption rates and may cause unwanted effects