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Starting too high can cause severe gastrointestinal side effects , including nausea so intense that people end up in emergency rooms

[DOI] [PubMed] [Google Scholar] 41.Sabouret P., Bocchino P.P., Angelini F., DAscenzo F., Galati G., Fysekidis M., DE Ferrari G.M., Fischman D.L., Bhatt D.L., Biondi-Zoccai G

Or it may take months before any symptoms appear

Accessed August 6, 2025

Another commenter stated that seeking a certification from a hospital official would be duplicative of the initial attestation without offering additional clarity on whether the file is truly compliant in the eyes of the regulators

An adequate