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This fermentation releases hydrogen gas that could lead to distension of the intestines, which can cause bloating

Rare things can alter the course or even disqualify some folks from use

Li Y, He S, Zhao Y, Jiang H, Lyu Z (2023) Unraveling the mechanism of tetrandrine combined with Buyang Huanwu Decoction against silicosis using network pharmacology and molecular docking analyses

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While no human clinical trials have yet tested Epitalon in cancer therapy, a growing body of animal studies suggests that it may reduce mutation load, normalize gene expression, and delay the onset of tumors, especially in aging or genetically predisposed systems