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MS patients show increased intestinal permeability, the so-called "leaky gut" that allows bacterial products and immune signals to enter systemic circulation and ultimately reach the CNS
Patients should be offered this alternative after an informed discussion on the advantages and disadvantages of both treatment options. oral vitamin B12 is an effective alternative to vitamin B12 IM injections Cochrane Review
The Food and Drug Administration also hasnt approved it
To investigate further, this study presented the BPC-157 peptide in amphetamine (dopamine agonist) murine models
This is the most concentrated option and produces the smallest injection volumes
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