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Additional warnings include risk of gallbladder disease (report right upper quadrant pain or jaundice), acute kidney injury from dehydration, and worsening of severe gastrointestinal disease including gastroparesis

Treatment needs to be supported with healthy diet and lifestyle decisions, such as eating a balanced, calorie-controlled diet and regular exercise for the best results

TCM believes acne and other skin diseases can arise from an unbalanced qi (life force)

Adipose tissue aromatizes testosterone to estrogen and contributes to systemic inflammation and insulin resistance, all of which can disrupt the hypothalamicpituitarygonadal (HPG) axis and spermatogenesis

Local sources lack this community oversight mechanism, making quality verification more dependent on individual assessment