Health Canada has not approved BPC-157 for any indication, and the August 2025 Canada Peptide advisory listed BPC-157 among seized unauthorized injectable peptide drugs
However, vitamin B12 can be stored in the liver for a long time, so it does not easily become deficient
BOMSS advises specialist multidisciplinary follow-up for at least two years post-surgery, with lifelong monitoring thereafter in primary care
B12 is absorbed well from the fatty layer, so the vitamin reaches the bloodstream either way
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Early intervention significantly improves outcomes and can prevent irreversible nerve damage