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This is commonly found in gastric juice

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Blood Pressure Medications Avoid combining with: High Blood pressure(hypertension) medications Herbs that lower blood pressure (e.g., hibiscus, garlic) Nitrates (used for chest pain) Sildenafil (Viagra, Revatio) Why: L-arginine can lower blood pressure, and combining it with these vasodilators may cause the blood pressure to fall too low

Lastly, they reduce inter-patient variability