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Description
When reported, side effects for milk thistle are generally gut disturbances like diarrhea, nausea or bloating

Arthritis Rheum 43:25502562 Giacomelli R, Matucci-Cerinic M, Cipriani P, Ghersetich I, Lattanzio R, Pavan A, Pignone A, Cagnoni ML, Lotti T, Tonietti G (1998) Circulating Vdelta1+ T cells are activated and accumulate in the skin of systemic sclerosis patients

Perform a patch test before use and discontinue if irritation develops

Pfeiffer C, Bach M, Bauer T, et al

We advise continuing B12 injections beyond the initial three-month period, particularly if any neurological symptoms persist
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