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Cardiac failure Impaired insulin release with hyperglycemia Blunts patient response to hypoglycemia, resulting in possible hypoglycemic unawareness Sexual dysfunction Fatigue Depression Cold hands Reduced exercise performance. May result in inability to raise heart rate in response to exercise. Patients will develop dyspnea on exertion Worsening of asthma Delayed recovery from hyperglycemia.

AN ABSENCE OF CONCLUSIVE CLINICAL STUDIES TO SHOW THAT THERE ARE NO HARMFUL SIDE EFFECTS TO OUR PRODUCTS COULD HAVE AN ADVERSE EFFECT ON OUR BUSINESS. Although many of the ingredients in our products are vitamins, minerals, herbs and other substances for which there is a long history of human consumption, some of our products contain ingredients for which no such history exists. In addition, although we believe all of our products are safe when taken as directed by us, there is little long-term experience with human consumption of a number of these product ingredients in concentrated form.

The general symptom of progressive fatigue might be interpreted as simply getting older by some patients and physicians rather than as a direct result of the anemia of CKD or the reduced cardiac output from CHF. Although diabetes can cause devastating complications, physicians now know that they can prevent or slow the progression of microvascular and macrovascular disease.]