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These oils are rich in unstable omega 6 fats that are easily damaged inside the body

A concern would be the development of FLD, since liver specific PNPLA2 KO mice develop FLD

J Thorac Dis 11(8):3391-3398, 2019

Thyroid disease, medication effects and sleep apnoea do not respond to lipotropics

It says to tell your provider promptly rather than accepting reflux as inevitable, and lists what a provider might consider, including a lower strength, slower escalation, timing changes, or temporary discontinuation