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They contain high levels of hydroquinone and or kojic acid

oi:10.1038/ijo.2016.121 The Vagus Nerve at the Interface of the Microbiota-Gut-Brain Axis

They help your bowel movements get better

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Anti-Inflammatory & Immune Modulation KPV and BPC-157 reduce pro-inflammatory cytokines (TNF-, IL-6) and modulate NF-B pathways, providing insight into chronic inflammation models [2]

It is more probable that payers would evaluate whether or not there are reductions in obesity-related comorbidities like type 2 diabetes, heart disease, metabolic syndrome, and MASH through oral medication, and not just reductions in weight