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Finally, BPC 157 is listed as a prohibited substance by the World Anti-Doping Agency (WADA), all NCAA, and all professional anti-doping sporting agencies

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Unlike metformin, which has a well-documented association with reduced vitamin B12 absorption, tirzepatide has not demonstrated a similar pharmacological mechanism that would directly interfere with B12 metabolism or absorption in the terminal ileum

Human research used intravenous doses in the range of 25 to 50 micrograms per kilogram