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Patients with inflammatory conditions may experience worsening symptoms when ashwagandha stimulates the same immune pathways that corticosteroids suppress

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However, most of these products are illegal for use because their safety and effectiveness are poorly researched

Antioxidants, 13 (12), 1508

hydroalcoholic extract on TNF- production, oxidative stress, and insulin level in streptozotocin-induced diabetic rats