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A licensed provider will review your medical history to determine eligibility

Journal of the American College of Nutrition, 39(5), 457468

People with heart failure, uncontrolled hypertension, or a history of heart attack or stroke should discuss NSAIDs with a clinician, since the class carries cardiovascular warnings

We then add panax (Asian) ginseng, along with standardized extracts of bacopa, turmeric and ashwagandha given their history of use in traditional Ayurvedic medicine

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1998 Apr;79(4):315-27