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It is also contraindicated with the following medications and classes: Antifungal agents Antibiotics Rifampin Carbamazepine Fluoxetine Paroxetine Considerations Nurse practitioners should consider the variations in the mechanism of action for the following: Metabolism differs between males and females: females exhibit lower oxymorphone concentrations and higher levels of CYP3A4/5 metabolites (56)

Reports suggest possible risks related to hormonal changes and skin pigmentation disorders

That's where targeted supplementation comes in

Green Tea Leaf Extract (standardized for 45% epigallocatechin gallate) 315 mg /

Dietary supplement use during chemotherapy and survival outcomes of patients with breast cancer enrolled in a cooperative group clinical trial (SWOG S0221)