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There has been a fair amount of scientific research evaluating a wide range of beneficial applications for both bacopa and gotu kola. If you are using the inhalation powder, replace your old inhaler each time you refill your prescription. Archived from the original on 2016-03-19. In people receiving immunosuppressants to reduce transplant graft rejection, an increased risk of malignancy (cancer) is a recognised complication. However, the values may vary based on the lab doing the testing. There is some evidence to suggest that digoxin toxicity is more likely in patients with restrictive cardiomyopathy, constrictive pericarditis, amyloid heart disease, hypertrophic obstructive cardiomyopathy, and acute cor pulmonale.