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The results werent adjusted for kidney function, which would normally lead me to dismiss them, given that smoking can damage kidney function over time, raising B12 levels independently of any causal relationship with lung cancer

Excretion Pathways Limited data on combined excretion indicates[21]: Primarily renal elimination of peptide fragments from all components Hepatic metabolism contributes to overall clearance Copper recycling through normal physiological pathways (GHK-Cu component) No evidence of accumulation in chronic dosing studies of individual components BPC-157 detectable in urine for up to 4 days