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If you see any abnormal skin changes like cyanosis, xanthomas, or petechiae or have slow-healing ulcers, then you must seek the services of both a dermato surgeon and a cardiologist

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The review stresses that while promising, large RCTs are missing

Nausea, vomiting, stomach cramps, bloating, constipation, and diarrhea are the most common, along with fatigue, headaches, and dizziness