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While rare, severe side effects are possible, such as increased blood pressure, suicidal thoughts, metabolic acidosis, vision problems, cognitive impairment, and hypokalemia (low potassium levels)

All three routes improved MCL healing, supporting the clinical observation that BPC-157 retains activity orally and topically (a property unusual among peptides), although effect sizes varied by route

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Since vitamin B12 is a water-soluble vitamin, the kidney does its job of removing extra B12