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Peptides, coming soon · Recovery and repair

BPC-157

Reviewed by the BrightSide clinical team. Last reviewed November 4, 2026.

Local option in Washington and Oregon, coming soon at Nordic Pharmacy in Poulsbo. Nationally compounded for every other state.

BPC-157 is a peptide of 15 amino acids that providers prescribe to support tendon and ligament recovery, tissue repair after a hard season and a healthy gut lining. It is one of six peptides in the October 2026 federal compounding policy, and Arora Health providers in Seattle are getting ready to prescribe it.

What is BPC-157?

BPC-157 is a short chain of 15 amino acids. The name stands for body protection compound, and researchers call it a stable gastric pentadecapeptide: a 15-part peptide that comes from a protective protein found in the stomach. That is why it shows up in two places: the gut, where it was first studied, and the tendons, ligaments and muscles that take the load when you run, climb and play.

Sports medicine has noticed. A 2025 systematic review in the HSS Journal, written by orthopaedic surgeons, reports that BPC-157 is increasingly used by clinicians and athletes [2]. The form named in the federal policy is BPC-157 acetate, one ingredient with nothing blended in [6].

What is BPC-157 prescribed for?

A provider prescribes BPC-157 to support:

  • Tendon and ligament recovery, for an elbow, shoulder, knee or Achilles that has been working overtime
  • Muscle and soft tissue repair after a big training block or a long season
  • A healthy gut lining

Your provider decides with you whether BPC-157 fits and how to use it.

What has research looked at?

  • Tendon, ligament and muscle. A 2019 review in Cell and Tissue Research looked at BPC-157 in tendon, ligament and skeletal muscle healing. The authors report that the studies they reviewed, mostly in laboratory models, showed consistently positive and prompt healing effects across many types of soft tissue [1].
  • Sports medicine. The 2025 HSS Journal review gathered 36 studies published from 1993 to 2024 on how BPC-157 works and its effects on bone, tendon, ligament and muscle [2].
  • The gut lining. A 2020 review in Current Pharmaceutical Design describes BPC-157 protecting the cells that line the stomach and stabilizing intestinal permeability, the barrier function of the gut lining [3].
  • Blood flow to repairing tissue. A 2018 review compared BPC-157 with the body's angiogenic growth factors, the signals that grow new blood vessels into tissue as it repairs, across the gut, tendon, ligament, muscle and bone [4].

Who is BPC-157 for?

  • The pickleball regular whose elbow has been sore since the indoor courts in Ballard filled up for the winter.
  • The trail runner coming off a season in the Cascades, from Mount Si training runs to a fall race near Snoqualmie Pass, whose knee wants a better recovery plan.
  • The climber who splits time between a Fremont gym and the granite at Index, and whose fingers and shoulders feel every send.
  • The ferry commuter with a desk job and a busy calendar who wants support for a healthy gut lining.

Your visit with Arora Health

BrightSide care is provided by Arora Health, the Seattle practice led by Dr. Shannon Arora and Dr. Sean Arora. Their providers know peptides well and are excited to offer them.

  1. Start an online visit from home. Tell us about your training, your recovery and your goals.
  2. A Seattle-based Arora Health provider reviews it and builds a plan for you, including whether BPC-157 fits.
  3. For patients in Washington and Oregon, Nordic Pharmacy in Poulsbo, a licensed Washington compounding pharmacy, fills your prescription. Everywhere else, our national pharmacy partners fill it. Either way it ships to your door.
  4. Follow up with your provider in your BrightSide patient portal as your plan moves along.

Every prescription gives 50 meals a month to those in need. See how on our giving page, and see how we choose pharmacies on our pharmacy network page.

How is BPC-157 supplied?

BPC-157
FormCompounded BPC-157 acetate, single ingredient
RouteInjection under the skin (subcutaneous) or into the muscle; the federal policy also lists oral and topical forms
How oftenOn the schedule your provider sets in your plan
StorageAs directed on the pharmacy label that comes with your prescription

When can you get BPC-157?

Soon. On October 30, 2026, the Department of Health and Human Services published a draft policy that opens a path for state-licensed 503A compounding pharmacies to compound BPC-157 and five other peptides. HHS says the policy is meant "to expand and improve patient access" [5]. It works through enforcement discretion, and BrightSide, Arora Health and our pharmacy partner are getting ready now so we can start as soon as prescribing opens.

Join the list to be first.

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When prescribing opens, an Arora Health provider will reach out to you.

Common questions

How is BPC-157 different from TB-500?

Both are recovery peptides. BPC-157 comes from a protective protein in the stomach, so providers also prescribe it to support a healthy gut lining. TB-500 is a 7-amino-acid piece of thymosin beta-4. Each is its own single-ingredient compounded medication, and your provider decides which fits your plan.

Can you get BPC-157 outside Washington?

Yes. Nordic Pharmacy will fill it in Washington and Oregon, and our national pharmacy partners will ship it to other states. Join the list wherever you live, and we will tell you the day prescribing opens.

  • TB-500: recovery and repair, prescribed to support tissue repair and healthy tendons and muscles.
  • KPV: gut and skin, prescribed to support a calm gut lining and comfortable skin.
  • MOTS-c: energy and metabolic, prescribed to support energy and healthy aging.
  • See all six on the peptide hub.

Sources

  1. Gwyer D, Wragg NM, Wilson SL. Gastric pentadecapeptide body protection compound BPC 157 and its role in accelerating musculoskeletal soft tissue healing. Cell and Tissue Research, 2019. https://pubmed.ncbi.nlm.nih.gov/30915550/ (DOI https://doi.org/10.1007/s00441-019-03016-8)
  2. Vasireddi N, Hahamyan H, Salata MJ, et al. Emerging use of BPC-157 in orthopaedic sports medicine: a systematic review. HSS Journal, 2025. https://pubmed.ncbi.nlm.nih.gov/40756949/ (DOI https://doi.org/10.1177/15563316251355551)
  3. Park JM, Lee HJ, Sikiric P, Hahm KB. BPC 157 rescued NSAID-cytotoxicity via stabilizing intestinal permeability and enhancing cytoprotection. Current Pharmaceutical Design, 2020. https://pubmed.ncbi.nlm.nih.gov/32445447/ (DOI https://doi.org/10.2174/1381612826666200523180301)
  4. Seiwerth S, Rucman R, Turkovic B, et al. BPC 157 and standard angiogenic growth factors: gastrointestinal tract healing, lessons from tendon, ligament, muscle and bone healing. Current Pharmaceutical Design, 2018. https://pubmed.ncbi.nlm.nih.gov/29998800/ (DOI https://doi.org/10.2174/1381612824666180712110447)
  5. HHS, Enforcement discretion policy regarding 503A compounding using certain peptide bulk drug substances, notice of availability, 91 FR 68526, October 30, 2026. https://www.govinfo.gov/content/pkg/FR-2026-10-30/html/2026-22192.htm
  6. HHS, Enforcement discretion policy regarding 503A compounding using certain peptide bulk drug substances, Appendix A and B. https://www.hhs.gov/sites/default/files/hhs-503a-peptide-enforcement-discretion-policy-appendix-b.pdf

Compounded peptides are not FDA approved and will be available by prescription from a licensed 503A pharmacy once prescribing opens.

BPC-157 is coming soon.

Join the listSee all six peptides