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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

Symptoms are often most noticeable with the first dose and may improve over time

What does the article say to ask the provider and pharmacy before starting

Self-pay options are also available, and we accept CareCredit, HSA, and FSA for eligible medical services