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No evidence suggests BPC-157 causes problematic vessel growth, but the absence of long-term monitoring data means this possibility cannot be definitively excluded

A psychiatrist with expertise in psychiatric complications of movement disorders may be consulted to rule out active psychiatric disease and screen for relevant past psychiatric history that may pose a contraindication to surgery, such as major depression and suicidality (Hauser & Benbadis, 2020)

The injection itself is quick administered into the muscle of the upper arm or thigh and B12 injections can start to work almost immediately after administration, though the full benefit builds over repeated doses rather than a single visit

Increase gradually based on tolerance