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3 Ballerina contains Senna leaves (Cassia Angustifolia). Read and follow the directions carefully. Do not use if you have diarrhea, loose stool or abdominal pain. Senna leaves may worsen these conditions as it may enhance more stooling. Consult your physician if you have frequent diarrhea or if you are pregnant, nursing, taking medications, or have a medical condition. Not recommended for children under 12 years of age.