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(2) Sarah Al-dulaimi, Ross Thomas, Sheila Matta, and Terry Roberts (2025) Epitalon increases telomere length in human cell lines through telomerase upregulation or ALT activity Biogerontology, 2025 Sep 4, Volume 26 (Issue 5), Page 178

These include pancreatitis (rare but reported in clinical trials and post-marketing surveillance), gallbladder disease, and acute kidney injury (particularly in the setting of severe dehydration from gastrointestinal effects)