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Taking B12 with food, switching to a different formulation, or trying a liquid preparation may reduce nausea

Consultation & Contraindications: Conduct effective client consultations, assess suitability, and identify any contraindications before treatment

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Treatment should be discontinued in patients who develop new, unexplained symptoms of dyspnea, angina pectoris, syncope, or peripheral edema

"Brain-gut Axis and Pentadecapeptide BPC 157: Theoretical and Practical Implications." Current Neuropharmacology, 2016;14(8):857-865