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The study has the following limitations: (1) underreporting and selection bias in FAERS data,as it lacks a comprehensive list of concomitant medications, which may lead to biased analysis results

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Without adequate regulation, there is no guarantee that these products are safe for long-term use and could do more harm than good. Tambini emphasized that it is essential to consult a healthcare provider before trying any supplement, particularly for managing diabetes

however, the risk of HFpEF is increasing

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