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The distinction between a research peptide and a medicine is not a matter of degree, it is categorical
One such peptide, MOTS-c (mitochondrial ORF of the 12S rRNA type-c), plays a role in regulating metabolic homeostasis, partly by regulating AMPK and mTOR pathways 7,8,10
Management depends on symptom severity and may range from lifestyle modifications and medications (proton pump inhibitors, antacids) to surgical repair in refractory or complicated cases
This primarily stems from internal differences, like the amount of intrinsic factor released in the stomach or genetic defects (much like an MTHFR mutation)
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