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Thus, it is likely that with BPC 157 therapy, no extraosseous bone islet means the counteraction of the endochondral bone formation in extraskeletal tissues, the counteraction of vascular endothelial cells differentiation into skeletal cells, local inflammatory signals, and the release of cytokines (i.e., bone morphogenetic protein-2 and bone morphogenetic protein-4 and transforming growth factor-beta) [68]
Nature 318 , 667670 (1985)
This is because B12 in this form has low bioavailability with absorption typically around ~1-2%
Understanding common issues and their solutions helps optimize outcomes