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Summary of dosing guidance 1

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[23] On the other hand, another case report reported 2 minor adverse events (i.e., nausea and abdominal inflation, respectively) among 42 cases while using coffee enema to treat constipation

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Prior to surgery one is often told to fast or have nothing to eat after midnight which can be up to 12 hours before surgery) so you are nutrient depleting an already nutrient deficient body and brain