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US FDA Pregnancy Category C Product label: CYANOKIT (hydroxocobalamin) injection, powder, lyophilized, for solution [Meridian Medical Technologies, Inc.] Last revised: April 2011 [DailyMed] Nursing Mothers (FDA) Cyanide poisoning: it is not known whether hydroxocobalamin is excreted in human milk

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What they did: They transected the quadriceps (front thigh) of rats and divided them into three groups: Control, no drugs Dexamethasone, a potent corticosteroid that is known to impair healing Dexamethasone + BPC-157 What they found: Dexamethasone group: 50 % worse healing than control (confirmed negative effect of steroids) Dexamethasone + BPC-157 group: healing at the level of controls without steroids Why it matters: This is a highly clinically relevant finding

Chronic acid exposure produces cellular injury, inflammation, and structural changes that persist even when reflux is controlled