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These include: Complete Blood Count (CBC) to check for better anemia Serum Vitamin B12 levels to make sure the dose is right Methylmalonic acid (MMA) and homocysteine levels to see how the body is reacting Reticulocyte count to see how the bone marrow is doing Clinical Improvement Markers We also watch for signs of improvement in how patients feel

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Chewable or gummy vitamins are more susceptible to moisture than capsules or tablets

However, discontinuation rates in Phase 2 were low (~6% at 12 mg), which suggests side effects were manageable for most participants

Interstitial Cystitis A pilot study assessed the safety and efficacy of BPC 157 for interstitial cystitis in 12 women who had not responded to conventional therapies

A particularly severe or troublesome cluster of symptoms may predominate for a time, and then change to another cluster