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The anemia is presumed immune-mediated as it responds to immunosuppressive therapy, such as a combination of azathioprine in dogs (which can suppress the bone marrow in some dogs), cyclosporine (dogs and cats), mycophenolate and high doses of prednisolone (dogs and cats)
Solutions: Verify product quality (request COA from vendor) Increase dose (try 500mcg twice daily if using 250mcg) Extend duration (some injuries take 8-12 weeks) Check storage (refrigerated properly?) Consider switching vendors Realistic expectations: Some conditions take months BPC-157 enhances healing but isn't magic Combine with rest, PT, proper nutrition Forgot to refrigerate overnight Problem: Left reconstituted BPC-157 out of fridge
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