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Further, one of the commenters stated that if Congress had intended to limit clotting factors to self-administered products in section 1861(s)(2)(I) of the Act, they could have used explicit language to that effect, as they did in section 1861(s)(2)(A) of the Act

The difference is that while cholera enterotoxin causes pathologic changes in intestinal permeability, larazotide improves intestinal permeability and helps to reduce the immune response that occurs when the intestinal membrane is too permeable causing small molecules such as gluten to cross the protective membrane into the blood stream increased membrane permeability or hyperpermeability of the intestinal membrane

BPC 157 Peptide Therapy solves this exact problem