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It isnt specifically approved for MC4R deficiency specifically, only for weight management and appetite control in adults and children with POMC- , PCSK1- , or LEPR- deficient obesity or those with genetically confirmed pathogenic variants, likely pathogenic variants, or variants of uncertain significance in POMC , PCSK1 , or LEPR (FDA: 2 years of age and older

Under proper storage conditions, lyophilized BPC-157 is typically stable for 12-24 months

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And because that partitioning is determined primarily by hormonal responses to the food we eat, and by the central nervous system, this hypothesis is a neuroendocrine hypothesis