These can be signs of severe spinal cord or cauda equina compression, which is a surgical emergency
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(PubMed) Sun Y, Shu Y, Liu B, et al
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Nasal offers convenience and brain-targeted delivery without needles, while injections provide precise dosing for systemic effects. What does the research say about BPC-157 nasal spray efficacy
One daily dose (10 mL) is diluted by adding directly to a specified volume of an intravenous fluid [see Dosage and Administration (2.3)]