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Timing adjustments may help with certain side effects

Increased serum advanced glycation end products is a distinct finding in lean women with polycystic ovary syndrome (PCOS)

Similarly, certain microbial metabolites have been shown to enhance or inhibit the activity of liver enzymes responsible for drug metabolism, thereby altering the pharmacokinetics of various medications (11)

The hemolytic property of saponin-based drugs originates from their interaction with the cell membrane

This may affect medications with a narrow therapeutic index, so monitoring may be required

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