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Do not take if pregnant or lactating

Certainty of evidence was evaluated using the GRADE methodology

One review on plants and herbal components with antiarrhythmic activities and their interaction with cardiac medications reported multiple interactions, including effects on drugs known to impact potassium levels (Supplementary Figure 2), potentially enhancing the pro-arrhythmogenic effect of cardiovascular medications [32]

However, Kentucky Board of Pharmacy records show that Tailor Made Compounding LLC (permit #P07728) entered a federal plea agreement for unlawful interstate distribution of bulk compounded drugs and for introducing unapproved new drugs into interstate commerce