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Unclear long-term safety: There is limited data on chronic use or systemic effects
It also slows gastric emptying, prolonging satiety after meals
doi: 10.1054/ghir
Severe multisystem symptoms require specialist evaluation Seizures, metabolic strokes, severe weakness, cardiomyopathy, developmental regression, exercise-induced rhabdomyolysis, lactic acidosis, major hearing or vision loss and strong maternal inheritance patterns may require neurological, metabolic or genetic evaluation
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