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Because the peptide survives gastric passage at approximately 80% structural integrity per the 2016 HPLC data but doesnt survive at 100% oral research protocols typically use higher doses than injectable equivalents to achieve comparable systemic exposure

[11] National Heart, Lung, and Blood Institute (NHLBI)

(PubMed) Agnoli C, Grioni S, Krogh V, et al

Sacroiliac joint injections can be used both for diagnostic as well as therapeutic purposes for pain