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Potential mild effects observed in animal and in vitro models include transient fatigue, mild nausea, or digestive discomfort related to metabolic acceleration

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The cause of endolymphatic hydrops is unclear, and while all patients with Mnire disease have endolymphatic hydrops, not all patients with endolymphatic hydrops have Mnire disease, which has led to the suggestion of an array of possible causes including genetic predisposition, viral infection, and multiple other biochemical and immune factors

If an independent re-test ever shows a batch falls short of its stated purity, we replace it free