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Of the total adverse events reported, 37% were gastrointestinal in nature [207 events in 73 (77%) of 95 participants], most frequently nausea [67 events in 53 (56%) participants], vomiting [43 events in 23 (24%) participants], and dyspepsia [32 events in 27 (28%) participants]

This mechanism has been implicated across multiple autoimmune diseases and provides a conceptual framework for linking environmental exposures to organ-specific autoimmunity

Rushing BR, Selim MI (2019) Aflatoxin B1: a review on metabolism, toxicity, occurrence in food, occupational exposure, and detoxification methods

Finally, individuals with compromised liver or kidney function, or those with severe gastrointestinal diseases like Crohn's or ulcerative colitis, require highly modified protocols