No clinical trials have evaluated their combined use, and major US guidelines do not recommend lipotropic injections
That said, a PCAC vote is advisory, not binding, meaning real-world access for patients hasnt changed
However, the findings that the stable gastric pentadecapeptide BPC 157 might beneficially affect striated and smooth muscle and heart might suggest that it most perfectly matched [32,33,34] with the original Roberts and Szabos cytoprotective theory and concept [35,36,37,38,39,40,41,42]
For example, your fatigue might be driven by low vitamin D or another cause rather than B12
Comparing Your Options For B12 Shots To help you decide which route is best for you, heres a quick comparison of the main ways to get B12 injections in the UK and Ireland