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People with chronic fatigue or anaemia may also require regular injections of B12 because the oral form is unreliable

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10.1016/S1474-4422(21)00252-0 Pubmed Abstract CrossRef Google Scholar View reference in article 23 GoldsteinA

These findings support the rationale for initiating formal human clinical trials [83]

4.2 Colitis/IBD Inflammatory bowel disease is characterized by damage to the intestinal epithelial barrier resulting in increased permeability and the resultant dissemination of the commensal microbiota

BPC-157 is investigational , has limited human clinical data, and any discussion here is presented strictly in a research context , not as a recommendation for personal use.