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A clinical biotin deficiency is very rare

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There are plenty of examples of people saying that it works including a widely shared Joe Rogan clip in which a guest describes elbow tendonitis that "just could not fix," gone in two weeks after starting BPC-157 [1]

Butyrate (5 mM) significantly promoted histone 3-lysine 9-butyrylation (H3K9bu) [41], and butyryl-CoA treatment markedly upregulated the butyrylation level of histone H3 [60], confirming butyrates role as the direct acyl donor