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Both have a wealth of scientific support for their efficacy, but tirzepatide has a bit more evidence behind it

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Each ingredient on its own is either Category A (B) or essential with no evidence of harm at normal levels (B, B, B) or Category C in very high doses (niacin)

In addition, along with function recovery (Figure 11), BPC 157 counteracts muscle disability related to various noxious procedures, after abdominal aorta anastomosis (Hrelec et al., 2009), L2-L3 compression (Perovic et al., 2019), severe electrolytes disturbances (Baric et al., 2016