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Metformin: Commonly prescribed for diabetes, metformin can affect the absorption of B12 in the gut over time

I previously explored vitamin B12s role in stroke risk, which you can also see in the related posts below

Likewise, BPC 157 therapy was shown in counteracting rapid clot formation in the portal vein, superior mesenteric vein, splenic vein, inferior vena cava, hepatic artery, and coronary artery, as well as peaked P waves, significant ST-elevation, tachycardia, gross organ lesions, and liver and spleen weight increases

For additional safety information, please see Full Prescribing Information

Methionine S-adenosyl methionine (SAM), a methionine metabolite, may interact with opioids, antipsychotics, amphetamines, and antidepressants to cause an overabundance of serotonin to accumulate in the body

However, it is best to talk to your dietician or physician