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Protocol 2: anxiety and pain presentation (intermediate) Goal: Address both pain and significant anxiety component Peptides: BPC-157 : 500mcg twice daily Selank : 300mcg daily intranasal or subcutaneous Duration: 8-12 weeks Why this works: BPC-157 addresses inflammatory and tissue components

Many patients have safely reduced steroid or extra DMARD and biologic use

Medications work best when combined with interventions that address the underlying patterns of immediate gratification seeking

Within the first week , many patients notice subtle improvements in energy levels and general wellbeing, though this is not universal