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Neuro-, hepatic, and renal toxicity suggestive of acute tubular necrosis (ATN): In a 28-year-old man who consumed large quantities of tribulus extract for its antiurolithiatic properties

It is also important to be aware that slowed gastric emptying can affect the absorption of some oral medicines, particularly those with a narrow therapeutic index (for example, certain thyroid medications or anticoagulants)

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Creel continued to work in theater during the early days of his diagnosis, though he eventually had to step back as his condition worsened

1 summarises these metabolic effects in humans [8,16]