Consult a health care practitioner prior to use if you have a kidney disorder, have diabetes, cardiovascular disease, liver or kidney disease, gall stones, a blood disorder or leucopenia, hypoglycemia, hypotension, or if you are taking prescription medication as this may alter the effectiveness of these medications. If you experience sweating, paleness, chills, headache, dizziness and / or confusion, discontinue use and consult a health care practitioner. Do not use if you are pregnant, breastfeeding, or plan to become pregnant. May cause gastrointestinal upsets such as constipation, vomiting and abdominal pain/cramps, in which case discontinue use and consult a health care practitioner. Some people may experience skin irritation, facial flushing and slowed heart rate.