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Articles pertinent to the aim of the review were selected based on the relevance of the title and abstract in the topic by four authors (R.M.R., E.M., L.C., and C.V.) and then were critically evaluated by all authors

Nat Rev Dis Primers 2:16008

ChemTexts 5:9 Bai J, Cederbaum AI (2001) Mitochondrial catalase and oxidative injury

Serious Warning Signs Severe abdominal pain: Especially if sudden onset, radiating to back, or with vomiting (possible pancreatitis, occurred in 0.3% of patients) Severe vomiting: If unable to keep any fluids down for 24 hours (dehydration risk) Signs of dehydration: Dark urine, dizziness on standing, confusion, decreased urination (acute kidney injury risk) Vision changes: Blurred vision, eye pain (rare but requires evaluation) Rapid heart rate: Persistent heart rate over 100 at rest (some increase normal, average 2-4 bpm, but sustained tachycardia needs evaluation) Suicidal thoughts: Any thoughts of self-harm (under 1% occurrence but requires immediate support) Severe allergic reaction: Difficulty breathing, throat swelling, severe rash (anaphylaxis requires emergency care) Lump in neck: Especially with difficulty swallowing (thyroid concern, rare but part of class warning) Trust your instincts

The second part is it also helps you get rid of the stuff from your liver out of your body

Obesity (Silver Spring) , 21 , 13701379