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Four specialty ingredients: Ginfort ginger, MSM, hyaluronic acid, and grape seed extract

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, may have lipotropic effects

One important caveat applies to the compounded version specifically: compounded preparations do not carry FDA-approved labeling of their own, so the adverse reaction data comes from the approved products that share the active moiety

L-arginine may interact with certain medications, including heart and diabetes medications, as well as worsen existing kidney disease, and cause side effects such as bloating, diarrhea, or low blood pressure