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Unopened vials remain stable at controlled room temperature (2025C) for 2436 months because the sterile seal prevents contamination

Notably, BPC 157 may scavenge reactive oxygen species due to its structure: it contains four carboxylic groups, and when they are reactivated (by glutathione or enzymes), the antioxidant activity is very high

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Per CMS NCCI guidance , the combination creates a logical conflict that most payer systems flag automatically

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