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Deficiency is particularly common in elderly people, because the ability to absorb vitamin B12 can decrease with age

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Safety concerns included uncharacterized immunogenicity (the risk that injected peptides trigger immune reactions), inadequate impurity and endotoxin testing in available raw material, the unresolved free base versus acetate salt form distinction, and, for BPC-157 specifically, an angiogenesis mechanism that raises theoretical cancer-risk concerns for certain patient populations

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Your physician will also want to know how often you experience discomfort and how long the problem has been going on