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Suluvoy JK, Sakthivel KM, Guruvayoorappan C, Grace VB

More serious risks include pancreatitis, gallbladder issues, kidney problems from dehydration, and a black box warning for thyroid C-cell tumors based on rodent studies

Key takeaway: The combination can boost cognitive and emotional function but it must be fine-tuned to avoid tipping the balance from therapeutic activation to excessive stimulation