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Indications Where BPC-157 Alone Makes Sense Consider BPC-157 without Thymosin Alpha-1 in the following scenarios: Acute or subacute tendon or ligament injuries where immune function is intact Post-surgical GI healing, particularly after bowel resection or ulcer repair Inflammatory bowel conditions in a patient without concurrent immunosuppression Musculoskeletal overuse injuries in otherwise healthy athletes In these cases, adding Thymosin Alpha-1 adds cost and injection burden without a clear mechanistic benefit