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Weakness and fatigue are common symptoms of vitamin B12 deficiency

Taking a proton pump inhibitor or other medications that reduce stomach acid for reflux or ulcers, as well as taking metformin for diabetes, can reduce absorption of B12 in food or supplements

The same group published extensive evidence for BPC-157s tendon-healing effects, including a mechanistic study demonstrating that BPC-157 promotes tendon outgrowth and cell survival through specific signaling pathways involved in angiogenesis and cell migration [2]

Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects