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Stolzing et al., 2010

3) uncontrolled comorbidity related to the following systems: respiratory (bronchial asthma, chronic obstructive lung disease, interstitial pneumonia, pulmonary fibrosis, and respiratory failure), cardiac (cardiac failure and arrhythmias), renal (renal failure with dialysis), neurological (cerebral vascular disorder), hepatic disease (Child classification C with liver cirrhosis, fulminant hepatitis, and liver failure)

Clinicians frame it as supportive within a broader metabolic plan built on sleep, nutrition, recovery, and lab-guided evaluation, not as a stand-alone fat-loss shortcut

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Ive read that more than 6,000mcg is never prescribed, is it because of safety