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May your medications stay correctly identified, your blood sugar stay well controlled, and your treatment decisions stay fully informed.

One expert review noted increases of up to 6.7 beats per minute at the highest doses, along with mild to moderate cardiac arrhythmias

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This heightened stress response can manifest in secondary physical symptoms, such as chronic muscle tension in the jaw or shoulders, further complicating the patient's physical discomfort (Kruppa et al., 2026