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There is not a single published full paper with complete data that is a peer-reviewed, randomised controlled trial in humans for any indication, and the overwhelming majority of the literature comes from a single research group connected to the patents. (Notice the lack of the letter i in the last word of that sentence.) Please reread that last paragraph and recognise that this relates to the MOST commonly touted peptide with the BEST evidence in its class

doi: 10.1016/j.plaphy.2021.11.009 18 Gall.CzkusZ.BelaK.HorvthE.rdgA.CsiszrJ.et al

Increased plasma xanthine and hypoxanthine can also occur consequent to disorders of mitochondrial oxidative phosphorylation or of glycogen metabolism (77)

In vivo studies demonstrated that the MnG combined with anti-PD-L1 (PD-L1) therapy significantly enhanced dendritic cell maturation in lymph nodes and cytotoxic T lymphocyte infiltration, compared to PD-L1 treatment alone