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Current British Society of Gastroenterology guidance suggests considering a baseline upper GI endoscopy with biopsies in adults aged 50 or over with confirmed pernicious anaemia to document autoimmune gastritis

However, the oral route cannot be excluded as it did not depend on intrinsic factors only, as the simple diffusion (without the need for intrinsic factors) is now considered another mechanism for the absorption of vitamin B12 [49, 50]

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Without copper properly bonded to the peptide, you lose these benefits entirely

When used together, BPC-157 and TB-500 could provide valuable digestive health support [4, 5, 17, 18]