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Without that documentation, Modifier 59 won't prevent denial
This multi-receptor approach distinguishes it from existing licensed medicines such as semaglutide (Ozempic, Wegovy) or tirzepatide licensed in the UK as Mounjaro for type 2 diabetes and as Zepbound for obesity which act on fewer receptor pathways
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doi: 10.1093/jn/116.4.641
The sourcing situation for self-administered BPC-157 is genuinely problematic
