Side effects from vitamin B2 in the preparation are rare but skin test or when necessary the more sensitive intradermal skin test may be advised to diagnose anaphylactic sensitivity (35)
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Alcohol could potentially interfere with the effects of BPC 157, but specific interactions havent been widely studied
Compounding pharmacies make customized medicines for individual patients, and under section 503A of the Food, Drug, and Cosmetic Act, a pharmacy can compound from a bulk substance only if that substance has an official quality monograph, is a component of an FDA-approved drug, or has been formally added to an approved bulks list. BPC-157 qualifies on none of those counts, which is why the FDA placed it in Category 2 of its 503A bulk-substance review in September of 2023
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Pregnant or lactating people should also avoid leaky gut supplements, as should children