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Do not borrow clinical evidence from another glucosamine form or from prescription acetylcysteine

Huang T, et al

In ALS patients plasma IGF-1 levels were reduced, suggesting that the Growth hormone (GH)/IGF-1 axis could be a serological marker of some specific neuronal degeneration 8

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Potential considerations for combined use: Synergistic Effects Some researchers hypothesize that combining BPC 159 and BPC 157 could potentially enhance their individual benefits, but this remains speculative without robust scientific evidence

Either approach works as long as you actually rotate