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As with any natural remedy, people should discuss using milk thistle with a doctor before taking it

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Pak J Med Sci 29 , 13381343 (2013)

The onset is often subtle, accompanied only by nonspecific symptoms such as malaise, myalgias, respiratory distress, increasing somnolence, and nonspecific abdominal distress

Neuton Dornelas, mdico endocrinologista e presidente da SBEM (Sociedade Brasileira de Endocrinologia e Metabologia), afirma que, apesar de usurios relatarem em redes sociais que tm perdido peso sem efeitos colaterais graves, a experincia no substitui as evidncias exigidas por rgos reguladores nem elimina os riscos associados ao uso de medicamentos sem registro sanitrio no Brasil