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Trial (NCT02637284)

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Common Side Effects (Both Formulations): Dry mouth Constipation Headache Dizziness Nausea Stomach upset Sleep disturbances and insomnia (may be less with the XL formulation) Tremor or shakiness Weight loss (unlike weight gain associated with many other antidepressants) Increased sweating Serious Side Effects and Warnings: Both formulations carry an FDA black box warning regarding increased suicidal thoughts in patients under 24 years old, particularly during the first few weeks of treatment

Conclusion The fulvic acid percentage in shilajit determines its therapeutic potential and effectiveness