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Many people who visit their doctor because they feel unwell and have several symptoms, do their best to give their doctor the whole picture

According to FDA prescribing information, these include nausea, vomiting, diarrhea, constipation, and abdominal pain

The occurrence of reduced exercise performance is not documented in any previous reviews but seems to be a common effect as it is reported in every study where it has been tested (although we cannot rule out publication bias, i.e., lack of publishing where no such symptoms have occurred)