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Early side effects are predominantly gastrointestinal including nausea, vomiting, and changes in bowel habit and are managed through a gradual, pre-specified dose-escalation schedule
It also raises blood pressure, increasing the risk of stroke
Take it with a small, easily digestible snack to minimize any GI discomfort, and avoid heavy meals within 2 hours of taking it
Many sellers ship it anyway, but that does not make it approved or safe
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