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In some cases, this stretching during birth leads to tearing of the skin and tissues of the perineum

it appears that these effects are dose-dependent with major congenital malformation risk significantly increasing at 600 mg/day and largest risk observed at doses that exceed 1,000 mg/day

One chemical that is metabolized by MAO-B is 1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)

That said, if you want to use this in place of one or two of your daily cups of coffee or tea, the balanced dose of 100mg caffeine and 200mg L-theanine would likely be quite useful
