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(Warkus and Marikawa, 2018) demonstrated that neither fluoxetine nor its main metabolite norfluoxetine (norfluoxin) had an effect on cardiomyocytes in the P19C5 embryoid body (EB) model in mice

Researchers aren't exactly clear why the drug appears to work better in people with overweight or obesity (but not diabetes) compared to people with diabetes who also have overweight or obesity

Dose and source do more to determine your risk than the route itself

Feline parvovirus correlates well

Essentially, the FDA has not formally evaluated this exact mixture for safety/efficacy, but each ingredients effects are well-known