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From the periphery, the immediate defensive response can be the stable gastric pentadecapeptide BPC 157 therapy [1,2,3,4,5,6,7,8,9,10,11,15,27,28,29,30,33], peripherally and centrally

The neurological consequences of untreated B12 deficiency can be serious and potentially permanent, including subacute combined degeneration of the spinal cord, which affects both sensory and motor pathways

The goal is to create a holistic approach that combines the benefits of Ozempic with proper B12 management

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Starting conservatively and adjusting based on individual response remains the best approach to minimize any negative effects while maximizing benefits