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INTRODUCTION Ethics statement Ethics approval was not required for this in vitro study, as it did not involve human participants, identifiable human data, or animal subjects

Although inflammation is reflected in selective biomarkers, traditional inflammatory markers such as C-reactive protein (CRP) and erythrocyte sedimentation rate have also shown an increased trend in ME/CFS, particularly in those with mild/moderate disease generally not raised in ME/CFS (226)

79 Pantethine Pantethine, a derivative of pantothenic acid (vitamin B5), can serve as a source of the vitamin

Researchers have observed that BPC-157 interacts with the nitric oxide (NO) system, the dopamine system, and the prostaglandin pathway, suggesting a multi-targeted mechanism of action that goes beyond simple wound closure

Most side effects are mild to moderate and improve with continued use

Uncommon but notable adverse effects include: Hypokalaemia (low potassium) can occur during initial treatment of severe megaloblastic anaemia, as rapid cell production consumes potassium