Directions
Adults: Take one softgel daily with or without food, or as prescribed by a healthcare practitioner.

Contains: Fish.

Contraindications
Tendera-OB is contraindicated in patients with a known hypersensitivity to any of the ingredients.

Warning: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of reach of children. In case of accidental overdose, call a doctor or Poison Control Center immediately.

Caution is recommended is patients taking anticonvulsant medications as folate may interfere with anticonvulsant medication, and may lower seizure threshold. Decreased patient response to methotrexate may occur due to supplementation of folic acid. Furthermore, anticonvulsant medications may interfere with folate metabolism.

Precautions
Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where vitamin B12 is deficient. Folic acid in doses above 0.1 mg daily may obscure pernicious anemia in that hematologic remission can occur while neurological manifestations progress.

Ingestion of more than 3 grams of omega-3 fatty acids (such as DHA) per day has been shown to have potential antithrombotic effects, including an increased bleeding time and International Normalized Ratio (INR). Supplemental intake of omega 3 fatty acids such as DHA above 2 grams per day in not recommended. In individuals with hypercalcemia or other conditions that may lead to hypercalcemia such as hyperparathyroidism and those that form calcium-containing kidney stones, vitamin D supplementation should be used with caution. Elevated levels of calcium in blood and soft tissues may result from high doses of vitamin D.
Use caution supplementing iodine in patients with overactive thyroid.

Adverse reactions
Allergic sensitization has been reported following both oral and parenteral administration of folic acid.

Not recommended for children under 12 years of age.

Do not exceed the recommended dose.
Tendera-OB should be administered under the direct supervision of a qualified healthcare practitioner.

Keep out of reach of children.

Tamper evident
Do not use if seal is broken or missing.

Administration of omega-3 fatty acids should be avoided in patients taking anticoagulants and in those known to have an inherited or acquired predisposition to bleeding.

You should call your doctor for medical advice about serious adverse events. To report adverse side effects or to obtain product information, contact BonGeo Pharmaceuticals, Inc. at 1-844-640-7607.

Store at 20 degrees-25 degrees C (68 degrees-77 degrees F); excursions permitted to 15 degrees-30 degrees C (59 degrees-86 degrees F) [See USP controlled room temperature.]
Avoid excessive heat, light and moisture.

Sugar free, lactose free and gluten free
No artificial colors or flavors

Quatrefolic
Patent ref.:
U.S. patent no. 7,947,662;
Other patents pending

Indications
Tendera-OB is an orally administered multivitamin/multimineral fatty acid dietary supplement indicated to improve the nutritional status of women during pregnancy and in the postnatal period for both breastfeeding and non-breastfeeding mothers. Tendera-OB may also be beneficial in improving the nutritional status of women prior to conception.

How supplied
Tender-OB is available as oval, dark red softgel capsules with an imprint "190". They are available in child-resistant bottles containing 90 softgels (52796-190-90).

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent disease.