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If you have a high-stress life, high caffeine intake, or high alcohol intake, you may need extra B12

Furthermore, studies such as the STEP-HFpEF trial with GLP-1 receptor agonists have shown optimized exercise capacity and reduced heart failure symptoms in patients

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If you find that your nausea becomes unmanageable, speak with your provider

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These are not documented harms they are plausible concerns based on BPC-157's proposed mechanisms