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GLP-1 medications are typically dosed weekly (semaglutide, tirzepatide) while BPC-157 is dosed daily

2-Causes of Nerve and Immune Damage: When glucose levels remain high for a long time, it harms peripheral nerves by causing oxidative stress, inflammation, problems with mitochondria, and issues with how glucose and fats are processed

Diabetes itself is most common known cause of gastroparesis, the NIH says

This case highlights that vitamin B12 deficiency can manifest primarily as deep sensory disturbance without typical upper motor neuron signs or radiological findings, particularly in older adults

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There are no published data available investigating the effectiveness or safety of NB use in patients with type 2 diabetes taking GLP1-RAs or DPP-4is