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If you're concerned about the side effects of B12 shots or patches, you don't need to worry since there are only a few side effects

BPC-157 is a fragment of a larger body protection compound protein that exists in the stomach, where it is associated with protective and healing functions of the gastrointestinal system

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doi: 10.1080/07315724.1998.10718735 55 PrasadAS

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There will always be people who are at high risk of raised homocysteine, but the only way to find out definitively is to perform a validated homocysteine test, and then monitor levels regularly going forwards