Some people should refrain from consuming neem leaves or use them under the guidance of a medical professional. Do not take internal neem as the dose may be unsafe for pregnant women. The breastfeeding mother, infant and young children should also be careful. Individuals with autoimmune diseases, liver diseases, kidney disease, or who are on blood sugar or immune medications should check with their health care provider first. The precautions for Neem Leaves are to not use it in excess, to not be using it for too long and to stop its use before a surgical procedure, as indicated by a doctor, because it can affect blood sugar and immunity.
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