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It is very difficult to get quality medical care in the USA unless one is very, very wealthy as we do not have any free national healthcare system in the USA

The Spine Journal Official Journal of the North American Spine Society 15 (5), 10281033

Systematic review of the safety of BPC-157. Journal of Applied Pharmaceutical Science (2023)

The ability to target anti-TNF-alpha activity to the intestine could help to thwart these drawbacks and would also allow for higher dosing and thus better disease control