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No adverse effects were reported, but rigorous, large-scale trials are lacking, according to NIH

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If nausea persists, consult your healthcare provider for further evaluation and management

BPC 157 has beneficial effects and thus leads to stomach cytoprotection organoprotection of the whole gastrointestinal tract, including both prophylactic and therapeutic effects for pre-existing lesions in individuals with the most complex disturbances, such as internal and external fistulas, or anastomosis complicated with severe colitis (indicated as +1)

Compendium of Methods for the Microbiological Examination of Foods