Nutri Advanced Metagest features Betaine HCl combined with pepsin (a proteolytic enzyme) to complement the natural production of digestive agents in the stomach.Directions: Two tablets with each meal or as directed by your healthcare practitioner.Ingredients: Two tablets supply: Betaine HCl 1,300 mg Pepsin (porcine) 90 mg Other Ingredients: Stearic acid, microcrystalline cellulose, cellulose, silica, magnesium stearate, and coating (deionised water, microcrystalline cellulose, polyethylene glycol, and carrageenan). Caution: If pregnant or nursing, or taking medication, consult your healthcare practitioner before use. Do not use if there is a prior history of or a current peptic or duodenal ulcer. Discontinue use if stomach discomfort occurs.