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Seek emergency care if: Symptoms persist beyond 2 hours after the injection Systolic blood pressure drops below 90 mmHg Heart rate exceeds 120 bpm at rest Any signs of allergic reaction appear (urticaria, throat tightness, wheezing) The patient co-ingested other substances The product source is unknown or unverified (heightening contamination risk) Emergency physicians unfamiliar with BPC-157 can reference the National Library of Medicine's compound page for published safety data or consult their regional poison control center for real-time guidance