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Oral BPC-157 is often discussed for gastrointestinal concerns because it passes through the digestive tract and appears relatively stable in acidic environments

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"Injections are the preferred treatment for patients unable to absorb vitamin B12, such as patients with autoimmune-related anemia or pernicious anemia, or history of gastrectomy, which means partial removal of the stomach, or a history of bariatric surgery," Levine told InStyle

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When you consume a substance orally, a percentage of that substance is metabolized by the body before it can actually get into the bloodstream