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Some sources caution against long-term use due to possible adverse effects on blood lipids and glucose. Chitosan may cause allergic reactions if you have a shellfish allergy. It has also been known to cause side effects such as bloating, gas, constipation, indigestion, heartburn, and nausea. Normal amounts of apple cider vinegar in cooking shouldn't pose a problem for most people.

Despite the claims, there is limited evidence that acetic acid, found in apple cider vinegar , can suppress your appetite. A 2019 study published in the journal Nutrients found that while acetic acid is potentially helpful in regulating blood sugar, researchers noted that more studies are needed.

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