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The trial proceeded without reported toxicity, and no lethal dose threshold (LD1) was ever established in subsequent safety testing meaning researchers administering the compound could not find a dose that caused death in even 1% of test subjects across the animal model safety work that preceded and followed the human study

doi: 10.1016/j.jchromb.2016.02.015 102 GolabiS.GhasemiS.AdelipourM.BagheriR.SuzukiK.WongA.et al

It can also cause toxic substances or medication (aminoglycoside antibiotics like gentamicin and the cancer drug Cisplain) to cause more damage to the auditory (hearing) nerves

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Less urgent but still worth reporting: side effects that do not improve after seven days at any dose level, persistent diarrhea that interferes with daily activities, significant hair thinning (which can occur during rapid weight loss phases and may relate to nutritional deficiencies rather than medication directly), mood changes including increased anxiety or depression, and hair loss patterns that seem disproportionate to weight loss speed