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Dangerous Reactions While die-off symptoms are generally manageable, certain signs indicate you should stop treatment and consult a practitioner: Persistent fever above 101F Severe abdominal pain or vomiting Neurological symptoms worsening (e.g., vertigo, severe headaches) Bloody or black stools Symptoms continuing beyond 7 days These may signal an adverse reaction or unrelated health issue that needs immediate attention

J Biol Chem 277:1257212578