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A 2019 case report in Clinical Neuropharmacology described a patient on Lexapro and clomipramine who developed full serotonin syndrome, including tremor, rapid heart rate, and confusion, after drinking beer

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Importantly, BPC-157 is not FDA-approved and is legally prohibited for sale as a drug, dietary supplement, or food additive in the US

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However, once absorbed, the drug behaves identically in the bloodstream