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Despite widespread use, there have been no published reports of serum enzyme elevations or clinically apparent liver injury attributable to alpha lipoic acid given in conventional doses

Fentanyl itself is often cut with xylazine, a non-opioid animal tranquilizer often known as tranq that can cause unpleasant side effects, including extreme sedation and skin lesions, Dasgupta said

It is not a drug, supplement, or compounded preparation, and it is not for human or veterinary use

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