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For persistent but not acute problems, request a phone or telehealth visit to review: Dose changes Anti-nausea or antidiarrheal options Alternative therapies Ask about referral to a specialist such as a gastroenterologist, endocrinologist, or nutritionist when long-term management is needed

Cooper WA, Lam DC, OToole SA, Minna JD

The FDA has classified BPC-157 in Category 2 for bulk drug substances, citing possible safety issues in compounding, such as immunogenicity, impurities, and insufficient safety evidence for suggested administration routes

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Inhibition of ceramide synthesis ameliorates glucocorticoid-, saturated-fat-, and obesity-induced insulin resistance