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doi: 10.1177/1049909113494748 7

If youre allergic to the milk thistle plant family, then it is advised that you dont consume it at all

This results from a tyramine-induced depletion of norepinephrine normally present in the readily releasable vesicle pool, and replacement of vesicular norepinephrine with tyramine (which functions as a false- or pseudo- neurotransmitter), which when released has no effect on postsynaptic adrenergic receptors (Figure 1)