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Epigenetic dysregulation: Copper inhibits histone deacetylases (HDACs) and activates histone acetyltransferases (HATs), causing chromatin hyperacetylation and aberrant transcription of pro-apoptotic genes (e.g., Bax, p53 up-regulated modulator of apoptosis protein (PUMA)) [144]

The catch is that once you puncture the vial, it has no defense against new bacteria

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Reference: Alpert A J, Gilbert H F

Holma et al

The fears are based on mechanism and animal data, not observed human cancer cases simply because BPC-157 hasnt been studied in humans long enough or in enough people to see those outcomes