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This means oral BPC-157 capsules can reach the gastric and intestinal mucosa in their intact, pharmacologically active form, unlike insulin, growth hormone, or GLP-1 analogs (unless specially formulated), which are immediately destroyed by gastric acid

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[10] [11] Therefore, any B12 deficiency detected in a patient taking Mounjaro may actually be attributable to metformin rather than tirzepatide itself