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Each targets a different pathway: GHK-Cu is a copper peptide tied to collagen and skin remodeling, BPC-157 and TB-500 are the tissue-repair backbone studied in tendon, gut, and cell-migration models, and KPV is a small anti-inflammatory fragment of -MSH

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Taking all this data together it seems logical or appropriate to conclude that, because IGF1-R has a different signalling pathway that can maintain lipid oxidation in the liver, FFA uptake in muscle, and activates mTORC1 could reactivate IR through tyrosine kinase activity on IRS, thus displacing serine phosphorylation, reinstituting insulin signalling

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This initial recognition step allows the peptides N-terminus to engage deep within the receptor TMD core, triggering a conformational change proximal to the intracellular region that results in G protein coupling and activation of the downstream signalling cascade 3,4,5,6,7