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Pregnancy: There is some evidence that Terminalia arjuna is POSSIBLY UNSAFE during pregnancy. There isn't enough reliable information to know if the other two species are safe to use when pregnant. Stay on the safe side and avoid using any Terminalia species.
Breast-feeding: There isn't enough reliable information to know if Terminalia is safe to use when breast-feeding. Stay on the safe side and avoid use.
Bleeding disorders: Terminalia might slow blood clotting. This might increase the risk of bruising and bleeding in people with bleeding disorders.
Diabetes: Terminalia might lower blood sugar levels. Your diabetes medications might need to be adjusted by your healthcare provider.
Surgery: Terminalia might interfere with blood sugar control and increase the risk of bleeding during surgery. Stop taking Terminalia at least 2 weeks before a scheduled surgery. *
