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doi:10.1017/s0007114515000227 Ashor AW, Brown R, Keenan PD, Willis ND, Siervo M, Mathers JC

To date, studies have reported minimal adverse effects at typical research-level dosages

So can outside events: a well that has flooded, a nearby septic system acting up, or recurring stomach illness among the people and pets drinking the water

Some patients on NHS maintenance feel symptoms return before the next dose, which is a conversation for your GP, not a reason to add private top-ups unannounced
