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The most common side effects include: Cardiovascular effects : Increased heart rate and blood pressure (occurs in most users), palpitations, chest pain in rare cases Sleep disturbances : Insomnia or difficulty staying asleep (especially if taken late in the day) Dry mouth : Nearly universal complaint among users Gastrointestinal issues : Constipation, diarrhea, or nausea Neurological effects : Dizziness, headaches, restlessness, tremors Mood changes : Irritability, anxiety, or in rare cases, euphoria Serious side effects are uncommon but possible, including primary pulmonary hypertension (a potentially fatal lung condition), heart valve problems, and psychological dependence

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