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Doctors interviewed by CBS News and Healthline describe this mechanism as a major contributor to the fishy or rotten egg smell many patients report

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Because they're classed as food supplements, they don't go through the same safety checks as prescription medications

Metabolic syndrome, characterized by a collection of metabolic disorders such as abdominal adiposity, dyslipidemia, hypertension and increased fasting blood glucose, is closely associated with the development of CVDs (Shi et al., 2023)