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I am not a medically trained person but I've had Pernicious Anaemia (one of many causes of B12 deficiency) for more than 46 years

In the alkaline environment of the small intestine, R-proteins are degraded by pancreatic enzymes, freeing vitamin B 12 to bind to intrinsic factor (IF), a protein secreted by specialized cells in the stomach (parietal cells)

Oral BPC 157 passes through digestion before entering circulation, which may reduce absorption compared to injections

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After examining the patient and checking his lab work, which showed high uric acid levels, the physician diagnosed him with idiopathic gout in the right hip