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Mouthrinse: neem-leaf rinse used as an adjunct to brushing. Oral extract: standardized neem leaf/twig extract ~125-500mg twice daily was used in a diabetes RCT. No broadly established dose; use a standardized leaf product, never neem oil internally.
With meals · with food
Standardized neem leaf extract (oral) or neem-leaf mouthrinse
Weeks of regular rinsing
Over ~12 weeks
Can occur acutely with neem oil ingestion
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