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Side effects include headache, flushing, nasal congestion, visual disturbances, and, rarely, cardiovascular events, particularly in those with pre-existing heart disease (Aus et al

doi: 10.1128/JVI.73.4.3410-3417.1999 185 MiagkovAVVarleyAWMunfordRSMakarovSS

It is important to note that inflammation-related symptoms have been reported in individuals who have consumed kava chronically, including dermal scaling in the form of ichthyotic dermatitis and delayed type hypersensitivity reactions [61]