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Nicotinamide adenine dinucleotide (NAD) is comprised of a redox pair of NAD+ (oxidized) and NADH (reduced)

Proposed Mechanism BPC-157 appears to work through multiple pathways: Maintaining vesicular integrity (affecting VMATs and dopamine transporters) Possibly occupying its own vesicular storage sites Competing for dopamine receptor binding Functionally substituting when dopaminergic neurons are lost This last property, essentially filling in for missing dopamine function, would explain why the peptide counteracts both receptor agonists (apomorphine) and antagonists (haloperidol, fluphenazine, clozapine, sulpiride) with equal effectiveness

BPC-157 is a synthetic peptide studied in animal and cell models for tissue healing and gastric cytoprotection