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Human trials are limited
Because it degrades in blood in a pathway involving amino-peptidases, it may not be suitable for people who take medications that inhibit or are metabolized by peptidases (e.g., captopril, a treatment for hypertension).4 Also, based on what we know about other therapeutic peptides, we would say DSIP is contraindicated for women who are pregnant or breastfeeding as well as people with a personal history of cancer
If you test positive, work with a knowledgeable practitioner to develop a personalized management plan
Ann Pharmacother
If the blood is visibly haemolysed (lots of burst blood cells) the lab will not do the B12 test for that reason
