As for the potential side effects of B12...there may be some, but not everybody gets them
The viability of the treated cells was estimated using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (commonly abbreviated as MTT assay)
In one study of human intestinal cells, Akkermansia alone was shown to increase natural GLP-1 levels by over 2,000%
10.1002/(SICI)1098-2744(199911)26:3 3.0.CO;2-K Mol
Chem-Eur J 21:1853418538 Lin W, Hu Q, Jiang K, Yang Y, Yang Y, Cui Y et al (2016) A porphyrin-based metalorganic framework as a pH-responsive drug carrier
The program includes an initial clinical consultation to assess your metabolic baseline, labs to establish starting markers (fasting glucose, HbA1c, lipids, liver enzymes, thyroid), a structured titration protocol tailored to your tolerance and goals, and ongoing physician oversight through dose escalations and maintenance