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Adverse Effects and Drug Interactions

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The major side effects of nopal include mild diarrhea, nausea, abdominal fullness, and increased stool volume.19,75 A case report of nopal and chlorpropamide coadministration resulted in additive effects on blood glucose and insulin levels, although hypoglycemia was not reported.106

Complementary and Alternative Medicine (CAM) Supplement Use in People with Diabetes: A Clinician's Guide

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