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In cases where the possibility of developing CVD is significant, it may be imperative to implement pharmacological measures to modify risk factors

Barilli et al

The result is mild water retention that shows up as puffiness in the hands, feet, or face

Out of the thousands of patients I have worked with, I have only heard two negative side effects: first, inability to sleep because too much coffee was administered or enema was taken too late at night, and second, abdominal cramping