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Human Psychopharmacology: Clinical and Experimental, 31(2), 135-143

Influence of autonomic nervous system dysfunction on the development of type 2 diabetes: the CARDIA study

Per the National Institutes of Health (NIH), potential side effects include: Headaches Difficulty sleeping Muscle or bone pain Increased heart rate High blood pressure Nausea Vomiting Diarrhea Constipation Abdominal cramps Gas Heartburn Vertigo Weakness Anxiety Jitteriness Kidney stones Liver damage Certain ingredients in diet supplements are explicitly discouraged if you're breastfeeding