As a compounded medication it is not an FDA approved finished product, but rather is lawfullly manufactured by FDA approved, compounding pharmacies under the proper USP guidelines and relevant state pharmacy board regulations and its medical use is permissible as a compounded medication prescribed and administered under the supervision of a physician
There is some limited preclinical data that it could impact tissues involved in reproduction, but direct, reliable evidence showing a connection to improved human fertility is missing at this time
Conditions that can cause cobalamin deficiency include: Inflammatory bowel disease (IBD) Exocrine pancreatic insufficiency (EPI) Pancreatic cancer Chronic enteropathy Alimentary lymphoma Small intestinal dysbiosis Inherited selective cobalamin malabsorption Inherited selective cobalamin malabsorption, which is known as Imerslund-Grsbeck syndrome (IGS) in humans, makes a dog genetically predisposed to have difficulty absorbing cobalamin
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Together, these findings (for review see, i.e., [84]) may be suggestive for a physiological role (in situ hybridization and immunostaining BPC 157 in human gastrointestinal mucosa, lung bronchial epithelium, epidermal layer of the skin and kidney glomeruli) [84]
It is not a pharmaceutical drug and is not intended for human or veterinary use, diagnosis, or treatment