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Although these symptoms improved with continued treatment, they initially worsened, indicating that neurological side effects can occur during the course of treatment

Bizzaro N, Antico A

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Risks: Unknown long-term safety, potential glucose disruption, and contamination from unregulated sources

The rationale for combining them is based on mechanistic complementarity (non-overlapping pathways), individual safety profiles, and clinical observations from practitioners administering the combination

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