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Use local knee injection when: - You have a specific, localized injury (torn ACL, MCL sprain, patellar tendinopathy, meniscus tear) - Pain concentrates in one area of the knee - You can identify the approximate location of the damaged structure Use systemic injection when: - You have diffuse knee pain without a clear source - Multiple structures are involved (post-surgical, advanced osteoarthritis) - You are stacking BPC-157 with TB-500 for broader systemic repair - You cannot tolerate injections near the knee Split protocol: Some users inject 60-70% of their daily dose locally near the knee and the remaining 30-40% subcutaneously in the abdomen

The risk of bias was assessed, there are some high and unclear risks of bias to the overall studies

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