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Other possible side effects may include nausea , headache , and fatigue , which often decrease over time as the body adjusts to the medication

Royes LF, Gabbi P, Ribeiro LR, Della-Pace ID, Rodrigues FS, de Oliveira Ferreira AP, da Silveira Junior ME, da Silva LR, Grislia AB, Braga DV, Dobrachinski F, da Silva AM, Soares FA, Marchesan S, Furian AF, Oliveira MS, Fighera MR (2016) A neuronal disruption in redox homeostasis elicited by ammonia alters the glycine/glutamate (GABA) cycle and contributes to MMA-induced excitability

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Participants with prediabetes were allowed (if their condition was controlled and maintained using diet and exercise alone)