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Specific cardiac considerations include: Heart rhythm concerns: The heart rate-increasing effect may require additional monitoring in patients with atrial fibrillation, supraventricular tachycardia, or ventricular arrhythmias Heart failure: Patients with New York Heart Association (NYHA) Class III-IV heart failure were excluded from major clinical trials, and there is limited safety data in this population [18] [21] Recent cardiac events: Patients with recent myocardial infarction, stroke, or unstable angina may require individualized assessment during the recovery period Hemodynamic considerations: Rapid weight loss may affect fluid balance in patients with significant cardiac disease Adverse effects relevant to cardiac patients include gastrointestinal symptoms (nausea, vomiting, diarrhea) that may lead to dehydration and electrolyte disturbances

/ Support your glutathione levels by staying hydrated and reducing your "toxic load." This includes limiting alcohol and avoiding highly processed foods, which can deplete your body's natural antioxidant stores

Anticancer Res 37(4):1705 Kaczmarzyk I, Nowak-Perlak M, Woniak M (2024) Promising approaches in plant-based therapies for thyroid cancer: an overview of in vitro, in vivo, and clinical trial studies

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