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Across human studies and reviews, adverse effects are uncommon at typical supplemental intakes, and when side effects do occur, they are usually mild and gastrointestinal in nature.12 13 44 A safety-focused review published in European Review for Medical and Pharmacological Sciences summarized available clinical and non-clinical data on myo-inositol and reported that only very high intake (around 12g per day) was consistently associated with side effects specifically mild gastrointestinal symptoms such as nausea, gas/flatulence, and diarrhea.44 The authors also noted that the severity of these effects did not increase with higher doses

2019;97(1):e64-e70 Yang HK, Park SJ, Byun SJ, Park KH, Kim JW, Hwang JM

No animals met predefined humane endpoint criteria requiring unscheduled euthanasia in either study

The anti-itch combination protocol: Layer 1: Oral antihistamine (cetirizine 10mg in the morning) Layer 2: Topical hydrocortisone 1% applied to affected area twice daily Layer 3: Cold compress for breakthrough itch (10 minutes as needed) Layer 4: Diphenhydramine 25mg at bedtime if itch disrupts sleep Avoid scratching at all costs