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Additional drugs that may be causative of the serotonin syndrome include the amino acid precursors of serotonin, tryptophan, and 5-hydroxy-l-tryptophan (5-HTP) [182]

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The agency says compounded drugs containing BPC-157 may pose immunogenicity risks, may involve peptide-impurity and active-ingredient characterization complexities, and have no or only limited safety information for the proposed routes of administration