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The TCA cycle begins with the reaction that combines the two-carbon acetyl-CoA, generated from fatty acids, amino acids or pyruvate oxidation, with a four-carbon oxaloacetate (OAA) to generate the six-carbon molecule citrate

Some people may notice benefits within a few weeks, while others may require several months of consistent use

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Treatment plans are often structured as two-month programs, which include one vial of BPC-157, a follow-up appointment, and lab testing to monitor progress and results