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This is the tier the FDA vote is designed to shrink, by giving patients a regulated alternative β which is the main reason a lot of clinicians want to see the pathway open up.β β What the vote changes β β An advisory committee recommendation isnβt a final rule, but it carries real weight, and the market read it clearly β shares of one telehealth company that testified in favor rose sharply the same day.β β The FDA now has a formal, on-the-record recommendation to add BPC-157 and KPV to the 503A bulks list.β βRulemaking on these substances is far more likely than it was a week ago.β β Compounding pharmacies and prescribers have a concrete reason to build a legitimate supply chain.β β Five other peptides β KPV, TB-500, MOTS-c, Epitalon, and Semax β were recommended alongside BPC-157, signaling broad committee support for the category