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Description
Variability in pharmacokinetic profiles among individuals, may influence clinical efficacy and safety, particularly when Ginkgo biloba is taken concomitantly with other medications (74)
PER1 has been suggested to influence cancer progression once cancer has been established

Epigenetic effects include changes to histone methylation status at genes governing fat cell differentiation

Monitoring: If use is pursued, arrange baseline reproductive hormones, immune markers, and frequent follow-up to catch unexpected effects early