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2013;9:e1003958

primary, partial or complete, unilateral describes a partial or complete repair of a cleft lip on one side

This could increase the risk of side effects, like: Increased heart rate Sweating Mental status changes Nervousness There haven't been large-scale studies testing ashwagandha and levothyroxine together, and more information is needed to determine just how significantly ashwagandha can affect thyroid hormone production