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doi:10.1155/2016/8158693 18 van den Dolder PA, Ferreira PH, Refshauge KM

MMA occurs when one of these special enzymes is either missing or not working properly

Milk Thistle and Blood Sugar Notice for diabetics: Silymarin may influence blood sugar levels

There have been reports of mild gastrointestinal side effects in one study 36 , but only when an exceptionally high dosage was taken (12 g/d)
