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Gastrointestinal disturbance nausea, diarrhoea, or abdominal discomfort, associated with capsicum and other botanical extracts Blood glucose effects ingredients such as banaba leaf and chromium may influence blood glucose levels, posing a risk for individuals with diabetes or those taking hypoglycaemic medicines [21] [22] Herbdrug interactions Panax ginseng may interact with anticoagulants (e.g., warfarin), hypoglycaemic medicines, and monoamine oxidase inhibitors (MAOIs)

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