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Your body converts those nitrates into nitric oxide, signaling blood vessels to relax and widen so more oxygen reaches working muscles

B., & Napolitano, J

2007 Mar;102(3):1065-70

This is because a standard serum test measures the total amount of B12 in your blood, not the amount that is actively available for your cells to use

BPC 157 seems to possibly enhance fibroblastic activity, improve angiogenesis, which is the formation of new blood vessels, and alters growth factors such as fiberblastic growth factor and vascular endothelial growth factor which are crucial for cell healing and tissue repair