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That's because the powder could be contaminated with a fungus or bacteria

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Alcohol In rats, Ex-4 successfully reduced ethanol intake dose-dependently and reduced spontaneous locomotion (Bornebusch et al., 2016)

The group also noted that all OMMs demonstrated a generally favorable safety profile. The only one linked to any sort of increase in the risk of a serious adverse event was naltrexone/bupropion