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Manufacturing standards also strengthen its legitimacy

[1] [3] Dehydration from gastrointestinal losses can increase the risk of acute kidney injury, making adequate fluid intake essential

Accompanying Concerning Symptoms Seek medical attention if sulfur burps occur with severe abdominal pain, particularly if sharp or worsening, persistent vomiting that prevents adequate hydration, bloody or black tarry stools (unless youre taking bismuth subsalicylate, which causes harmless black stools), fever above 100.4F, severe diarrhea causing dehydration, yellowing of skin or eyes, or unexplained weight loss beyond expected treatment effects

Public Health 214 , 163170 (2023)

This means most people never investigate further