Nutri Metagenics Metagest contains Betaine HCl (stomach acid) and Pepsin to aid digestion in the stomach.Nutri Metagenics Metagestâ„¢ features the acidifying factor betaine HCl and the proteolytic enzyme pepsin.Directions:1-2 tablets with each meal, or as directed.IngredientsOne tablet typically contains: Betaine HCI - 650mgPEpsin (1:10,000) - 45mg Tableted With:Cellulose, Magnesium stearate, Microcrystalline cellulose, Silicon dioxide, Stearic acid, Modified cellulose coating.Caution: Do not use if there is a prior history of or a current peptic or duodenal ulcer. If discomfort in the stomach occurs after administration, discontinue use and consult your healthcare practitioner. Store in a cool dark place. Do not chew or break the tablet. Tablet must be swallowed whole.