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It is not recommended to take tetracycline and vitamin B12 simultaneously, and the reason is that tetracycline will interfere with the effectiveness and absorption of vitamin B12

Dipeptidyl peptidase-4 inhibitors and gallbladder or biliary disease in type 2 diabetes: systematic review and meta-analysis (BMJ)

Please refrain from any form of ingestion

If youre curious about how these peptides could work in a personalized protocol, consult with a provider who understands both functional medicine and performance physiology

While there's no official upper limit, doses up to 2,000 mcg can be safely used to treat B12 deficiency under medical supervision