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The liver changes ammonia, a toxic by product of protein metabolism into urea, which is excreted in the urine
doi: 10.1007/s00401-022-02497-2 [DOI] [PMC free article] [PubMed] [Google Scholar] 136

Rule of thumb: If you are on any long-term prescription medication, show the supplement label to your doctor or pharmacist before you begin

Because phenylephrine is a potent -1-agonist, it dramatically increases peripheral vascular resistance and afterload (Medical Advisory Board 2026a)

10.3382/ps.2010-00893 23

While it is naturally found in the body, levels can be reduced by factors such as age, stress, and poor nutrition
