I could not tolerate it due to severe nausea. Was not able to work. Really tried to make it work but couldn't. But back then, I did not know about Zofran. Maybe combined with Zofran it could have worked.
It helps so many people. I think I was just a weird case.
In terms of growing a third arm, yes, it is sometimes called a Third Gen AP. The only one in its class. I do not know more about it but you can look up why it has this unique reputation.