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It damages and breaks down (erodes) the protective layers of the tooth (the enamel and dentine).
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Side effects were mainly gastrointestinal upset in both studies and hypoglycaemia (low blood sugar) in one study. In patients with rheumatoid arthritis, depressive symptoms were significantly associated with negative health and functional outcomes as well as increased health services utilization ( Katz and Yelin 1993).
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