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Systemic effects less commonly include mild dizziness or lightheadedness (may be copper-related), temporary nausea or headache (typically resolves within hours), mild fatigue (rare, reported with higher doses), and transient flu-like symptoms (very rare, may relate to systemic inflammatory response)

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[DOI] [PMC free article] [PubMed] [Google Scholar] 63.Fox M.D., Raichle M.E

These include alpha-lipoic acid (100 to 200 mg daily), methylsulfonylmethane (MSM) at 500 mg three times a day , and milk thistle supplements rich in silymarin