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Women using oral contraceptives should be counseled about this potential interaction and may need to consider alternative or additional contraceptive methods, particularly during the initial weeks of treatment when gastric emptying effects may be most pronounced

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Tryptophan metabolism and related pathways in psychoneuroimmunology: the impact of nutrition and lifestyle

Data from Balkman C: Hepatobiliary neoplasia in dogs and cats, Vet Clin North Am Small Anim Pract 39:617, 2009