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The short answer is Yes

Patients should seek medical attention if they experience severe or persistent gastrointestinal symptoms, signs of pancreatitis (severe abdominal pain radiating to the back), symptoms of thyroid tumors (neck mass, difficulty swallowing, persistent hoarseness), right upper quadrant pain, jaundice, reduced urine output, or unexplained hypoglycemia

If powder remains undissolved, set the vial down and wait five minutes before swirling again

Her body couldnt regulate the flow

This correlation of cytokine levels with severity may indicate that severity is a useful way to subgroup ME/CFS, as well as a dose-response defect in the metabolism or excretion of cytokines (231)

Efek samping yang mungkin terjadi dalam penggunaan obat adalah: gangguan pencernaan ringan, serta reaksi alergi pada individu yang sensitif