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You can also find it in combination medications for weight loss, such as Qsymia, which combines phentermine and another drug called topiramate

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Substances to reduce or avoid: Caffeine from coffee, soda, energy drinks, or even chocolate Nicotine from smoking or vaping Recreational drugs such as cocaine, amphetamines, or ecstasy Certain herbal supplements (like ginseng or ephedra) that act as stimulants Cutting these out can help the body return to a calmer, more balanced state, which can reduce palpitations and improve overall cardiovascular function

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Even without those factors, the cost of excessive alcohol use is up there with the expenses for smoking, which comes in at over $289 billion each year.