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Its also common to lose some muscle mass along with fat while on these drugs, which can be problematic, Kessler writes

Side effects are generally mild, including nausea, diarrhea, or digestive discomfort

They never told the truth

They bind with the enzyme CYP3A4 3 , which means that drugs such as tamoxifen cannot use the engaged CYP3A4 enzymes to convert into their active forms in the body, reducing the drugs effectiveness