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This imbalance between sympathetic and parasympathetic activity leads to resting tachycardia, reduced HRV, orthostatic hypotension, and an increased risk of silent myocardial ischemia and sudden cardiac death

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According to the FDAs drug label, side effects include: Nausea Diarrhea Vomiting Constipation Stomach pain Other notable side effects include: Hair loss Belching or burping Gastroesophageal reflux disease, or GERD Generally, people experience those side effects as they ramp up the dosage at the start of treatment, but the side effects usually go away after prolonged use, according to Dr