While generally considered safe under medical supervision, like any medication, it may cause some side effects
During the acute phase of inflammation, butyrate inhibits HDAC, limiting the recruitment of neutrophils, reducing neutrophil-derived expression of Chemokine (C-C motif) ligand 3 (CCL3), CCL4, and IL-8, reducing neutrophil extracellular trap (NET) formation, and limiting the inflammatory response
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It reduced fasting glucose and improved glucose tolerance in both DIO and db/db mice as well as inducing weight loss in DIO mice
Toxicol Appl Pharmacol (2013) 270(2):8796
If someone prescribed 50 units as a starting dose from a 5 mg/mL vial, that would be 2.5 mg, which is dangerously high for a first injection