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It's important to consult a physician before using ashwagandha

A: Dose increases often cause temporary worsening of gas symptoms as your digestive system readjusts to higher medication levels

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Suboptimal dosing : Patients may be on a dose intended for diabetes management (0.5-1.0 mg weekly) rather than the higher dose approved for weight loss (2.4 mg weekly)

[Bias risk assessment: (3) Revised Cochrane bias risk assessment tool for individual randomized, cross-over trials (RoB2.0)]

Its specific multi-state licensing footprint is not comprehensively published on its website
