But apparently the CEG members expect their audience of primary care vets to unquestionably accept this advice despite the fact that it is not based upon any evidence, and more importantly, despite the fact that it expressly contradicts peer-reviewed, evidence-based, published research to the contrary
The safety data is encouraging: no serious adverse events documented across 100+ preclinical studies, no organ damage, and no deaths even at doses 1,000 times typical use (Sikiric et al., 2014
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You may receive placebo, but even that comes with regular medical monitoring that many people do not otherwise get
2 These include: Nausea Diarrhea Vomiting Constipation Abdominal pain or discomfort Decreased appetite (an intended effect, but can be excessive for some) Burping (eructation) Indigestion (dyspepsia) Gastroesophageal reflux disease (GERD) These side effects are typically mild to moderate in severity, are most common when starting the medication or increasing the dose, and often lessen over time as the body adjusts
An internet-based approach for lifestyle changes in patients with NAFLD: Two-year effects on weight loss and surrogate markers