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Thus, in my clinical practice, given the uncertainty about B12 blood levels, if a patient has symptoms suggestive of B12 levels affecting cellular function, unless he/she wishes to undertake further testing with homocysteine and MMA, a trial of sublingual B12 in the active form at 1-2000 mcg daily (to avoid malabsorption issues) is a reasonable course of action

Regulatory note: Both BPC-157 and TB-500 are not FDA-approved for human use, and TB-500 is prohibited by WADA (class S2) for athletes

It activates the innate repair receptor (IRR) a heterodimeric receptor (EPOR/CD131) selectively upregulated in injured tissue to produce anti-apoptotic, anti-inflammatory, and nerve-regenerative effects without stimulating red blood cell production or carrying EPOs cardiovascular risks

Current evidence does not support peptides as a standalone substitute for established anxiety or depression treatments

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