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Indirect mechanisms may contribute to dental health changes, including dry mouth reducing saliva's protective effects, dietary modifications, acid exposure from nausea or vomiting, and gastroesophageal reflux from delayed gastric emptying

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Rather than eating three large meals each day, many patients tolerate several smaller meals better

The combination of high search demand and structural complexity (15 amino acids, multiple proline residues, distinctive sequence) makes BPC-157 a target for substitution with cheaper compounds that may pass basic visual inspection but fail independent analytical verification