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In addition, among participants with diabetes at the beginning of the study, metabolic surgery was associated with a 51% remission rate at the 12-year follow-up (Adams 2017)

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BPC-157: More localized, especially in the GI tract and connective tissue TB-500: Broader systemic effects, influencing cell migration and circulation In some cases, both may be considered together (bpc157 and tb500) as complementary, though decisions must be individualized and physician-guided

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