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10.1016/j.phrs.2018.01.013 91 liewskaK.CukrowskaB.SmulikowskaS.Cielecka-KuszykJ

Additional areas of research include dementia and pulmonary hypertension

Protocol modifications: Start lower doses (BPC-157 200mcg vs 500mcg, GHK-Cu 1mg vs 3mg) with slower titration, simplify regimens (once daily vs multiple doses), prioritize evidence-based options (Cerebrolysin for glaucoma over speculative peptides), involve family members in administration and monitoring, focus on most impactful intervention if resources limited

This creates a cluster of overlapping symptoms, where Long COVID can trigger ME/CFS and exacerbate underlying mast cell and autonomic dysfunction, all fueled by a fundamental redox imbalance