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Potential risks associated with their prolonged use may include gastrointestinal disturbances, including nausea, vomiting, diarrhea, and constipation [21,27,28,29]

Data from: 2020 anti-doping testing figures

From 1993-1998 researchers recruited 147,348 postmenopausal women through the Womens Health Initiative (WHI) database and investigated the subjects dietary habits (Se intake) through a dietary questionnaire, and over the following 16 years, 442 cases of thyroid cancer were identified among the subjects

Furthermore, the accumulation of 4-hydroxybutyrate may have an effect on the excitatory neurotransmitter glutamate, which then have an influence on the nervous system

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