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The Clinical Takeaway from Doral The bpc-157 vs tb-500 question does not have a universal answer because it is the wrong question

Rushing through it or skipping steps is where problems happen

This includes people with: Pernicious anaemia (autoimmune destruction of intrinsic factor-producing cells), typically requiring lifelong IM injections Crohn's disease or surgical resection affecting the terminal ileum Coeliac disease causing malabsorption (may improve with gluten-free diet) Chronic pancreatitis reducing enzyme availability needed for B12 release Vegans and strict vegetarians need reliable B12 sources through fortified foods or supplements, as plant-based diets contain negligible amounts of active B12

Both are listed as banned substances by WADA and major athletic organizations