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Uncontrolled misuse can lead to cardiovascular events.Hormonal Effects: Side effects can include increased sexual desire, acne, increased hair growth, and voice changes
Other practices that have been documented include the use of depleted milk thistle extracts, which are cheap and are of poor quality, so this is clearly an example of economically-motivated adulteration
J Neurol Neurosurg Psychiatry
Presented for research literature review only Chen WJ et al
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