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This reduces the levels of glucose and glycated hemoglobin in the plasma of T2DM patients [151], resulting in decreased insulin levels and increased glucagon release, thereby promoting the production of ketones [152]

Alternatively, if the elevated anion gap persists despite cessation of acetaminophen and administration of N-acetylcysteine, pyroglutamic acidosis is unlikely, and an alternative diagnosis should be sought

As with all injectable peptides, the most common side effect of BPC-157 is injection site reactions

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