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Pharmacologic overview of Withania somnifera, the Indian ginseng

Pollom EL, Alagappan M, von Eyben R, Kunz PL, Fisher GA, Ford JA, Poultsides GA, Visser BC, Norton JA, Kamaya A, Cox VL, Columbo LA, Koong AC , Chang DT

Potential Side Effects, Contraindications, and Safety Considerations Tesamorelin contraindications Disruption of the hypothalamic-pituitary axis Active malignancy Known hypersensitivity Pregnancy Common tesamorelin adverse reactions Arthralgia Injection-site erythema or itching Pain in extremity Peripheral edema Myalgia Growth-axis risks Elevated IGF-1 Glucose intolerance or diabetes Fluid retention Carpal-tunnel symptoms Joint pain Potential excessive tissue growth Malignancy concern Growth hormone and IGF-1 support cell proliferation and survival

10.1111/j.1471-4159.2007.05097.x J

This is a critical, non-negotiable element of its function and a key point of difference in the 5-Amino-1MQ vs MOTS-c debate