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[PubMed: 27151488] (49 year old woman developed jaundice 4 weeks after starting Hydroxycut for weight loss [bilirubin 6.9 mg/dL, ALT 115 U/L, Alk P 299 U/L], which improved after stopping but was followed by persistent Alk P elevations [237 to 253 U/L] without jaundice while liver biopsy showed bile duct loss)
However, it is recommended for most patients to receive a series of 2-3 treatments spaced about 6-8 weeks apart
Peptides purchased online or from non-regulated suppliers may be unsafe, contaminated, or counterfeit
This case should alert clinicians to possibility of colon cancer after the initial diagnosis of MC
Bs integrative approach to gut and immune health, BPC-157 pairs well with her broader peptide therapy protocols
Ondansetron may be considered, though patients should be aware of potential side effects including constipation and, rarely, QT interval prolongation
