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In very rare and severe cases, someone might experience swelling or difficulty breathing

Expression of insulin-like growth factor-1 receptor in human colorectal cancer

10.1007/s12035-014-8705-x 76 MoyseE.KranticS.DjellouliN.RogerS.AngoulvantD.DebacqC.et al (2022)

Do not flush unused medications or pour down a sink or drain.

They found 12 randomized controlled trials with a total of 791 participants and reported a significant effect of ALC on the reduction of depressive symptoms, even, in three trials comparing ALC versus antidepressants, ALC demonstrated similar effectiveness compared with established antidepressants in reducing depressive symptoms