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One of the most cited areas of BPC-157 research is tendon healing

doi: 10.1089/neu.2009.0987

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A complete medical history assessing for gut inflammation, celiac disease, GERD, recent nitric oxide use in surgery, and genetic factors like MTHFR should trigger a closer look at B12 adequacy even with a normal homocysteine (HCY) plasma test

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In summary, monitor the injection site (if pain increases or the area gets very red, hot, and swollen, inform your doctor as that could indicate injection-site infection, which is exceedingly rare with proper technique)