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The use of herbs is a bme entered approach to strengthening l'in body and I -eating disease. However, <br />herbs contain components that car 'rigger side effects and *n'.e-actwich other herbs, supplements, or <br />mediaP.ons For these reasons, you should take hubs with care, under the supervision of a healer care <br />provider qualified In the field of ootanical medicine. `his is partici arty true for kava, because there is <br />evidence T may cause liver damage. <br />Reports in the United States and Europe have linked kava with severe liver prod.ems. Kava certain ng <br />products have been assoaated with at least 75 -erorts of liverrelatedinjuries (Inclou leg hepatitis, <br />cirrhosis, Ilver failure, and deeth). <br />We don't know much about kava's effect on t P liver It may be that the kava supplements some people <br />took were contaminated with othe, substances that caused liver damage Or It is possible that some <br />people already had Iver problems before taking kava, or that they took combination of kava and other <br />prescription med.canons or heron that damaged their livers. It is also possible that the doses generally <br />recommended for kava affect people cifferenl ly. So a ruse that mould cause liver damage in one person <br />might have no effect on the liver in another pe'son. <br />Because of the uncertanty around kava, yon should take 1 only w.th your doctor's scpervision..f you <br />have taken kava and are having symptoms of <br />• Liver damage, suds as yellow skin (jaundice] <br />Fatigue <br />• Abdominal pair, <br />coseof appetite <br />• Nausea and vomiting, red <br />• Joint relit <br />Seek Immed ate medico l a t:e- on. <br />DO NOT take kava if you hav, depression .mrd cease, s_ch as hepatitis, or Pa,kincon s disease <br />Pregnant or breastfeeding women shocld not take kava <br />r0 NOT take kava if you are go" g to male su-grry land toil your surgeon if you have taken It in the <br />naso. Kava ran prolong the wfect of anesthesia <br />DO NOT drink a'.cohol while'aking kava <br />Otherside effects resocietod with ktuu irclude- <br />• Alle t csen reactr J -riche' rtact :re rmat fi <br />• Doziness <br />• Drowsiness <br />• Re Oessness <br />• Stomach unset <br />