Before starting the medication, let your doctor know if you have any liver, kidney or heart problems and other pre-existing medical conditions. Inform your doctor if you have a history of seizures and an underactive thyroid (hypothyroidism) as you may need to exercise caution before taking this medicine. If you experience any unusual symptoms or allergic reactions whilst taking medicine, please discontinue the use and consult your doctor immediately. Inform your doctor of any other herbs or medications that you may be using. Keep your doctor informed if you are on any blood-thinners (Coumadin, warfarin, apixaban etc), antihypertnesives, thyroxine, insulin, cholesterol-reducing drugs, immunosuppresants or chemotherapy as there may be an interaction. You may need to monitor your blood glucose levels while you are taking this medicine as it can lower your blood sugar. Inform your doctor in advance if you are pregnant, planning to conceive or breastfeeding before starting the medication. Keep the medicine out of reach of children and pets. Store in a cool, dry place, protected from direct sunlight.