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Montero, et al., 2024), though the medications are still financially out of reach for many U.S

Over time, repeated purging can cause stomach problems, damage to tooth enamel, and other serious medical complications

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Willow bark (Salix spp.) used for pain relief in arthritis: A meta-analysis of randomized controlled trials

But the side effects that receive the least attention online are the ones that matter most to anyone considering it: significant lean muscle loss documented by DEXA scanning, dopamine suppression that can flatten mood and drive, and dosing decisions where the difference between 8 mg and 12 mg is roughly 1 percent more fat loss and approximately double the side effects