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References Alshammari N, Platts JA

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10.1196/annals.1297.047 64 KokubunT.SaitohS

Hormone testing may also be recommended, particularly for patients over 40 or those with symptoms suggesting hormonal imbalance

The most commonly reported side effects are typically mild and transient, occasionally including minor gastrointestinal upset, nausea, or heartburn, particularly if the supplements are taken on an empty stomach or in excessively high doses all at once