Hayashis adviser, Travis Masterson, an assistant professor and the director of the Health, Ingestive Behavior, and Technology Laboratory at Pennsylvania State University, offered a couple of explanations
We follow the strictest safety guidelines in the industry, so you can feel completely confident in your treatment from day one
One slightly reduced dose in a long-term protocol has negligible impact on overall results
Also contact your clinician promptly for right-upper-quadrant pain, fever, jaundice, or pale stools (possible gallbladder issues), allergic reactions (rash, facial swelling, trouble breathing), marked changes in urination or swelling (potential kidney problems), or sustained severe constipation/abdominal bloating