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[2] The MHRA Drug Safety Update (August 2022) advises healthcare professionals to consider testing vitamin B12 levels in patients taking metformin who develop symptoms of neuropathy or anaemia, and to consider periodic monitoring in those at risk of deficiency

Vitamin B12 is not made by plants or animals, but by microbes that blanket the earth

CAUTION:Not for use if pregnant or nursing

Given the lack of clinical approval and standardized dosing guidelines for BPC 157 in humans, its use outside of a research setting should be cautiously approached

continued low levels of serum B12 may indicate that the patient is not a candidate for this mode of administration

Depending on the nature of the damage, imaging investigations may also be used to assess the underlying level of healing