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This is the tier the FDA vote is designed to shrink, by giving patients a regulated alternative — which is the main reason a lot of clinicians want to see the pathway open up.‍ ‍ What the vote changes ‍ ‍ An advisory committee recommendation isn’t a final rule, but it carries real weight, and the market read it clearly — shares of one telehealth company that testified in favor rose sharply the same day.‍ ‍ The FDA now has a formal, on-the-record recommendation to add BPC-157 and KPV to the 503A bulks list.‍ ‍Rulemaking on these substances is far more likely than it was a week ago.‍ ‍ Compounding pharmacies and prescribers have a concrete reason to build a legitimate supply chain.‍ ‍ Five other peptides — KPV, TB-500, MOTS-c, Epitalon, and Semax — were recommended alongside BPC-157, signaling broad committee support for the category