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While BPC-157 does not develop traditional tolerance, cycling remains common practice for several reasons including receptor sensitivity maintenance, cost management, and conservative approach given limited long-term human data

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In certain embodiments, any controlled release otic formulation or composition described herein increases the exposure of a therapeutic agent and increases the Area Under the Curve (AUC) in otic fluids (e.g., endolymph and/or perilymph) by about 30%, about 40%, about 50%, about 60%, about 70%, about 80%, or about 90% compared to a formulation or composition that is not a controlled release otic formulation or composition