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It leads to gastrointestinal side effects

Second, BPC-157 prevents and reverses mitochondrial damage, which is significant because mitochondrial dysfunction contributes to mast cell hyperactivation in conditions like MCAS

Moreover formulation (L-carnitine vs propionyl-/acetyl-L-carnitine), dose, route, timing relative to ischemia/reperfusion, and treatment duration of L carnitine (short peri-procedural courses vs chronic supplementation) may contribute to these differences (Da Silva Guimares et al

doi: 10.3945/jn.109.109785 114

Then the dose can be given every 3-4 days for 2-3 weeks or until complete remission