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2025 Apr 1;82(4):395-405

While these immune mechanisms are essential for mycobacterial control, they lead to exudative meningitis, endovasculitis, infarction, hydrocephalus, and irreversible neuronal damage

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[17] [18] Patients with pre-existing liver disease or those taking other hepatotoxic medications should use ashwagandha cautiously and consider baseline and periodic liver function testing